Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $72.48 / $79.84	Facility	26	$35.17	$72.48	$79.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $72.65 / $120.91	Professional		$63.84	$72.65	$120.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.52 / $44.39 / $70.34	Professional	26	$34.52	$44.39	$70.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.38 / $61.17	Professional	TC	$22.57	$33.38	$61.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $79.63 / $95.27	Professional		$63.51	$79.63	$95.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $44.37 / $80.26	Professional	26	$30.60	$44.37	$80.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.92 / $45.92 / $45.92	Professional	TC	$45.92	$45.92	$45.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $87.37 / $136.38	Professional		$63.03	$87.37	$136.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.54 / $58.36 / $86.37	Professional	26	$38.54	$58.36	$86.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $31.88 / $64.17	Professional	TC	$19.84	$31.88	$64.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $92.13 / $144.88	Professional		$65.79	$92.13	$144.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $55.54 / $86.52	Professional	26	$36.60	$55.54	$86.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $32.39 / $64.23	Professional	TC	$21.84	$32.39	$64.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $176.34 / $176.34	Facility	26	$83.68	$176.34	$176.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.04 / $568.04 / $586.04	Professional		$568.04	$568.04	$586.04
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.92 / $234.92 / $285.00	Professional	26	$234.92	$234.92	$285.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $244.63 / $244.63 / $301.05	Professional	TC	$244.63	$244.63	$301.05
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $77.05 / $135.38	Professional		$58.72	$77.05	$135.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $47.30 / $86.05	Professional	26	$33.60	$47.30	$86.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $28.64 / $52.91	Professional	TC	$19.89	$28.64	$52.91