Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $8.39 / $52.50	Facility	26	$8.39	$8.39	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.97 / $46.76	Professional		$25.33	$26.97	$46.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $8.91 / $14.50	Professional	26	$8.19	$8.91	$14.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $18.39 / $30.48	Professional	TC	$16.94	$18.39	$30.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $19.22 / $19.22	Professional	26	$19.22	$19.22	$19.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $38.71 / $63.07	Professional		$22.02	$38.71	$63.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $15.05 / $23.93	Professional	26	$9.52	$15.05	$23.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.89 / $24.75 / $37.97	Professional	TC	$14.89	$24.75	$37.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.99	Facility	26	$10.80	$10.80	$11.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $41.08 / $69.48	Professional		$25.85	$41.08	$69.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $13.88 / $22.43	Professional	26	$8.60	$13.88	$22.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $28.02 / $47.06	Professional	TC	$16.82	$28.02	$47.06
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $70.00 / $80.00	Facility	26	$24.54	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $197.88 / $269.02	Professional		$197.88	$197.88	$269.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $232.03 / $232.03 / $232.03	Professional	26	$232.03	$232.03	$232.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $142.29 / $146.19 / $193.58	Professional	TC	$142.29	$146.19	$193.58
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $35.90 / $68.22	Professional		$26.04	$35.90	$68.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.99 / $21.64	Professional	26	$9.36	$11.99	$21.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $23.91 / $50.85	Professional	TC	$16.07	$23.91	$50.85