Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.66 / $23.80 / $122.96	Facility	26	$22.66	$23.80	$122.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $51.00 / $210.41	Professional		$35.63	$51.00	$210.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $24.92 / $37.90	Professional	26	$20.14	$24.92	$37.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $19.30 / $53.40	Professional	TC	$15.48	$19.30	$53.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $137.02 / $137.02	Professional		$137.02	$137.02	$137.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $33.22 / $43.44	Professional	26	$21.94	$33.22	$43.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $76.45 / $114.12	Professional		$26.17	$76.45	$114.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $34.78 / $54.48	Professional	26	$20.71	$34.78	$54.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.27 / $44.64 / $75.67	Professional	TC	$16.27	$44.64	$75.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.47 / $37.47 / $37.47	Facility	26	$37.47	$37.47	$37.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $84.06 / $144.72	Professional		$41.57	$84.06	$144.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $36.79 / $57.28	Professional	26	$23.00	$36.79	$57.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.11 / $43.93 / $93.82	Professional	TC	$15.11	$43.93	$93.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $76.08 / $120.92 / $120.92	Facility	26	$76.08	$120.92	$120.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $447.52 / $447.52	Professional		$441.00	$447.52	$447.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $338.48 / $338.48 / $338.48	Professional	26	$338.48	$338.48	$338.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $338.48 / $338.48 / $338.48	Professional	TC	$338.48	$338.48	$338.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $79.87 / $106.72	Professional		$44.63	$79.87	$106.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.39 / $29.54 / $51.54	Professional	26	$23.39	$29.54	$51.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.15 / $41.16 / $69.66	Professional	TC	$22.15	$41.16	$69.66