Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $20.89 / $77.62	Facility	26	$16.22	$20.89	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $114.82	Professional		$33.88	$46.77	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $18.20 / $50.12	Professional	26	$10.23	$18.20	$50.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	52	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $64.57	Professional	TC	$20.89	$28.18	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $64.57	Professional		$32.36	$48.98	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.96 / $27.54	Professional	26	$9.77	$10.96	$27.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $79.43	Professional		$20.89	$40.74	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.42 / $33.11	Professional	26	$13.18	$20.42	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.88 / $63.10	Professional	TC	$21.38	$33.88	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $87.10	Professional		$33.11	$48.98	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.38 / $29.51	Professional	26	$12.02	$17.38	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $56.23	Professional	TC	$20.42	$31.62	$56.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $380.19	Professional		$288.40	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $107.15 / $107.15	Professional	26	$83.18	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $275.42 / $275.42	Professional	TC	$208.93	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $81.28	Professional		$35.48	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.49 / $26.92	Professional	26	$12.59	$15.49	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $54.95	Professional	TC	$21.88	$28.84	$54.95