Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.75 / $21.76 / $52.40	Facility	26	$19.75	$21.76	$52.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $55.23 / $93.00	Professional		$39.60	$55.23	$93.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $23.06 / $38.15	Professional	26	$19.01	$23.06	$38.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $32.40 / $61.17	Professional	TC	$18.23	$32.40	$61.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $61.50 / $74.00	Professional		$45.88	$61.50	$74.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $28.08 / $37.78	Professional	26	$24.34	$28.08	$37.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $60.86 / $104.84	Professional		$44.15	$60.86	$104.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.53 / $44.06	Professional	26	$20.42	$28.53	$44.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $34.25 / $63.53	Professional	TC	$20.58	$34.25	$63.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $60.27 / $110.34	Professional		$42.76	$60.27	$110.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.59 / $30.03 / $49.62	Professional	26	$20.59	$30.03	$49.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $30.87 / $63.65	Professional	TC	$17.73	$30.87	$63.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $97.62 / $99.28	Facility	26	$47.70	$97.62	$99.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $378.70 / $461.40	Professional		$378.70	$378.70	$461.40
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $130.11 / $130.11 / $160.35	Professional	26	$130.11	$130.11	$160.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $242.47 / $242.47 / $301.05	Professional	TC	$242.47	$242.47	$301.05
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $50.80 / $95.17	Professional		$38.11	$50.80	$95.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $25.82 / $48.05	Professional	26	$18.84	$25.82	$48.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $27.08 / $53.69	Professional	TC	$16.23	$27.08	$53.69