Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $61.66	Facility	26	$33.11	$33.11	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $123.03	Professional		$53.70	$70.79	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $74.13	Professional	26	$26.92	$34.67	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $61.66	Professional	TC	$19.05	$36.31	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $75.86	Professional		$58.88	$74.13	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.02 / $61.66	Professional	26	$31.62	$38.02	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $72.44 / $128.82	Professional		$15.14	$72.44	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $48.98 / $72.44	Professional	26	$35.48	$48.98	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.02 / $72.44	Professional	TC	$21.88	$38.02	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $35.48 / $50.12	Facility	26	$7.59	$35.48	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $138.04	Professional		$57.54	$74.13	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $81.28	Professional	26	$31.62	$45.71	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.90 / $70.79	Professional	TC	$19.50	$30.90	$70.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $549.54	Professional		$489.78	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $245.47 / $245.47	Professional	26	$194.98	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $302.00 / $302.00	Professional	TC	$245.47	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $109.65	Professional		$48.98	$64.57	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.90 / $64.57	Professional	26	$28.84	$38.90	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $47.86	Professional	TC	$17.38	$26.92	$47.86