Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $36.31 / $114.82	Facility	26	$26.92	$36.31	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $309.03	Professional		$83.18	$117.49	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $43.65 / $181.97	Professional	26	$25.12	$43.65	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $85.11 / $151.36	Professional	TC	$63.10	$85.11	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $35.48 / $51.29	Professional	26	$15.49	$35.48	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $181.97	Professional		$63.10	$63.10	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $32.36 / $60.26	Professional	26	$15.85	$32.36	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $77.62 / $154.88	Professional	TC	$43.65	$77.62	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $13.49 / $22.91	Facility	26	$12.59	$13.49	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $190.55	Professional		$50.12	$89.13	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $25.70 / $54.95	Professional	26	$13.80	$25.70	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $69.18 / $141.25	Professional	TC	$32.36	$69.18	$141.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,071.52	Professional		$870.96	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $263.03 / $263.03	Professional	26	$213.80	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $660.69 / $812.83 / $812.83	Professional	TC	$660.69	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $181.97	Professional		$51.29	$87.10	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $25.12 / $48.98	Professional	26	$14.79	$25.12	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $63.10 / $120.23	Professional	TC	$35.48	$63.10	$120.23