Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.00 / $43.09 / $168.00	Facility	26	$31.00	$43.09	$168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $70.05 / $650.69	Professional		$56.41	$70.05	$650.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $36.95 / $427.25	Professional	26	$27.07	$36.95	$427.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $35.34 / $49.07	Professional	TC	$28.93	$35.34	$49.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $61.38 / $105.93	Professional		$51.15	$61.38	$105.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $33.49 / $55.64	Professional	26	$25.88	$33.49	$55.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $83.72 / $127.52	Professional		$31.04	$83.72	$127.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.39 / $43.43 / $71.31	Professional	26	$28.39	$43.43	$71.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.42 / $46.80 / $73.00	Professional	TC	$28.42	$46.80	$73.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.21 / $51.21 / $51.21	Facility	26	$51.21	$51.21	$51.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $96.37 / $152.83	Professional		$62.21	$96.37	$152.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $48.05 / $73.81	Professional	26	$31.11	$48.05	$73.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $50.93 / $83.62	Professional	TC	$31.04	$50.93	$83.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $170.00 / $170.00	Facility	26	$85.90	$170.00	$170.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.11 / $560.92	Professional		$468.00	$468.11	$560.92
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $378.10 / $378.10 / $378.10	Professional	26	$378.10	$378.10	$378.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $378.10 / $378.10 / $378.10	Professional	TC	$378.10	$378.10	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $84.91 / $166.70	Professional		$62.74	$84.91	$166.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $36.92 / $83.59	Professional	26	$30.32	$36.92	$83.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.78 / $42.41 / $80.28	Professional	TC	$31.78	$42.41	$80.28