Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $83.18	Facility	26	$44.67	$44.67	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $162.18	Professional		$69.18	$93.33	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $114.82	Professional	26	$37.15	$47.86	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $42.66 / $72.44	Professional	TC	$25.70	$42.66	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $93.33	Professional		$63.10	$74.13	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $36.31 / $50.12	Professional	26	$30.90	$36.31	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $93.33 / $162.18	Professional		$20.42	$93.33	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $66.07 / $97.72	Professional	26	$46.77	$66.07	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $87.10	Professional	TC	$25.12	$42.66	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $173.78	Professional		$72.44	$100.00	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $63.10 / $107.15	Professional	26	$41.69	$63.10	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $87.10	Professional	TC	$25.70	$38.02	$87.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $323.59 / $323.59	Professional	26	$269.15	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $354.81 / $354.81	Professional	TC	$288.40	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $147.91	Professional		$64.57	$87.10	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $53.70 / $87.10	Professional	26	$38.02	$53.70	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.11 / $57.54	Professional	TC	$23.44	$33.11	$57.54