Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $51.29	Professional		$14.13	$19.95	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $22.39 / $77.62	Professional	26	$10.00	$22.39	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.76 / $25.12	Professional	TC	$5.01	$7.76	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $12.59	Professional		$9.12	$9.12	$12.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $5.62 / $22.39	Professional	26	$5.50	$5.62	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $4.47 / $4.47 / $5.25	Professional	TC	$4.47	$4.47	$5.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $37.15	Professional		$10.23	$20.89	$37.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $13.18 / $22.91	Professional	26	$6.17	$13.18	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $7.59 / $14.45	Professional	TC	$3.98	$7.59	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.91 / $20.89	Facility		$8.32	$8.91	$20.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $6.03 / $11.22	Facility	26	$5.62	$6.03	$11.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $2.63 / $2.82 / $5.25	Facility	TC	$2.63	$2.82	$5.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $36.31	Professional		$9.33	$15.14	$36.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.33 / $25.12	Professional	26	$5.62	$9.33	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $4.27 / $13.49	Professional	TC	$3.55	$4.27	$13.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $169.82	Professional		$131.83	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $97.72 / $97.72	Professional	26	$95.50	$97.72	$97.72
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $32.36	Professional		$11.22	$17.78	$32.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.48 / $21.88	Professional	26	$7.08	$11.48	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $6.17 / $12.02	Professional	TC	$4.37	$6.17	$12.02