Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $26.30 / $87.10	Facility	26	$20.42	$26.30	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $91.20	Professional		$30.90	$43.65	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $56.23	Professional	26	$12.02	$15.85	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $58.88	Professional	TC	$19.95	$26.92	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $69.18	Professional		$35.48	$37.15	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $29.51	Professional	26	$12.59	$12.59	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $83.18	Professional		$20.89	$42.66	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $24.55 / $38.02	Professional	26	$15.49	$24.55	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $60.26	Professional	TC	$20.89	$33.88	$60.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $95.50	Professional		$35.48	$54.95	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $20.89 / $35.48	Professional	26	$14.13	$20.89	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $35.48 / $60.26	Professional	TC	$20.89	$35.48	$60.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $389.05	Professional		$302.00	$389.05	$389.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $131.83 / $131.83	Professional	26	$104.71	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $257.04	Professional	TC	$194.98	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $85.11	Professional		$38.02	$51.29	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $33.11	Professional	26	$15.14	$18.20	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $52.48	Professional	TC	$22.91	$30.90	$52.48