Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.51 / $13.08 / $77.48	Facility	26	$12.51	$13.08	$77.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $47.62 / $77.45	Professional		$42.17	$47.62	$77.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $13.50 / $21.64	Professional	26	$12.09	$13.50	$21.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $34.78 / $55.46	Professional	TC	$29.66	$34.78	$55.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $10.82 / $10.82	Professional	26	$10.82	$10.82	$10.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $72.70 / $117.00	Professional		$42.43	$72.70	$117.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $21.62 / $34.81	Professional	26	$13.52	$21.62	$34.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.75 / $51.77 / $82.61	Professional	TC	$32.75	$51.77	$82.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $17.72	Facility	26	$16.20	$16.20	$17.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $70.70 / $113.81	Professional		$44.45	$70.70	$113.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $20.49 / $33.13	Professional	26	$12.73	$20.49	$33.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $49.80 / $83.90	Professional	TC	$31.46	$49.80	$83.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $325.58 / $454.50	Professional		$325.58	$325.58	$454.50
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.83 / $91.83 / $112.65	Professional	26	$91.83	$91.83	$112.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $233.75 / $233.75 / $341.85	Professional	TC	$233.75	$233.75	$341.85
United Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $59.27 / $108.26	Professional		$47.62	$59.27	$108.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $17.48 / $30.32	Professional	26	$13.40	$17.48	$30.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.25 / $41.78 / $74.59	Professional	TC	$33.25	$41.78	$74.59