Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $11.75 / $15.18	Facility	26	$8.11	$11.75	$15.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $42.53 / $106.50	Professional		$30.47	$42.53	$106.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.52 / $21.16	Professional	26	$8.11	$9.52	$21.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.35 / $27.64 / $87.98	Professional	TC	$22.35	$27.64	$87.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $41.57 / $68.22	Professional		$27.72	$41.57	$68.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.53 / $21.63	Professional	26	$6.94	$9.53	$21.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $38.96 / $38.96	Professional	TC	$20.78	$38.96	$38.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $59.95 / $127.36	Professional		$31.17	$59.95	$127.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $14.36 / $22.76	Professional	26	$8.97	$14.36	$22.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $46.12 / $112.26	Professional	TC	$24.92	$46.12	$112.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.60	Facility	26	$10.80	$10.80	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $59.64 / $154.44	Professional		$33.97	$59.64	$154.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $13.43 / $22.01	Professional	26	$8.43	$13.43	$22.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $46.66 / $137.87	Professional	TC	$25.21	$46.66	$137.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.19 / $70.00 / $80.00	Facility	26	$53.19	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $528.05 / $539.95 / $554.75	Professional		$528.05	$539.95	$554.75
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.55 / $97.55 / $97.55	Professional	26	$97.55	$97.55	$97.55
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $477.35 / $492.53 / $506.03	Professional	TC	$477.35	$492.53	$506.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $61.15 / $103.74	Professional		$36.86	$61.15	$103.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $11.47 / $20.22	Professional	26	$9.05	$11.47	$20.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.95 / $42.05 / $78.61	Professional	TC	$26.95	$42.05	$78.61