Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $44.67	Professional		$10.00	$14.79	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.61 / $16.60	Professional	26	$3.02	$6.61	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $10.00 / $30.20	Professional	TC	$7.08	$10.00	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.41 / $10.00	Professional		$7.24	$7.41	$10.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $2.04 / $4.90	Professional	26	$1.95	$2.04	$4.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $5.37 / $7.24	Professional	TC	$5.37	$5.37	$7.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.49 / $33.88	Professional		$7.24	$15.49	$33.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.19 / $4.68 / $7.76	Professional	26	$2.19	$4.68	$7.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $10.72 / $26.92	Professional	TC	$5.13	$10.72	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.96 / $24.55	Facility		$10.23	$10.96	$24.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $2.04 / $3.80	Facility	26	$1.95	$2.04	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $41.69	Professional		$7.08	$11.22	$41.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $3.24 / $8.51	Professional	26	$2.04	$3.24	$8.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.90 / $7.24 / $25.70	Professional	TC	$4.90	$7.24	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $141.25	Professional		$125.89	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $104.71 / $104.71	Professional	TC	$100.00	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $32.36	Professional		$8.32	$14.13	$32.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.45 / $3.89 / $7.41	Professional	26	$2.45	$3.89	$7.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $10.00 / $24.55	Professional	TC	$5.75	$10.00	$24.55