Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $40.74	Facility	26	$21.88	$21.88	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $107.15	Professional		$40.74	$60.26	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $44.67	Professional	26	$18.20	$22.91	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $34.67 / $60.26	Professional	TC	$18.20	$34.67	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $79.43	Professional		$45.71	$57.54	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $23.99 / $30.20	Professional	26	$21.38	$23.99	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $58.88 / $104.71	Professional		$14.13	$58.88	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $48.98	Professional	26	$22.91	$32.36	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.02 / $70.79	Professional	TC	$21.38	$38.02	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.90 / $22.91 / $33.11	Facility	26	$4.90	$22.91	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $114.82	Professional		$43.65	$58.88	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $53.70	Professional	26	$20.89	$30.20	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $29.51 / $69.18	Professional	TC	$17.38	$29.51	$69.18
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $457.09	Professional		$380.19	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $162.18 / $162.18	Professional	26	$128.82	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $302.00 / $302.00	Professional	TC	$239.88	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $89.13	Professional		$38.90	$51.29	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $42.66	Professional	26	$19.05	$25.70	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.30 / $47.86	Professional	TC	$16.60	$26.30	$47.86