Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $21.46 / $27.76	Facility	26	$10.47	$21.46	$27.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $11.12 / $21.36	Professional	26	$9.16	$11.12	$21.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $15.86 / $28.89	Professional	TC	$14.38	$15.86	$28.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $21.09 / $40.14	Professional	26	$19.53	$21.09	$40.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $34.03 / $51.66	Professional	26	$22.96	$34.03	$51.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.59 / $47.12 / $71.03	Professional	TC	$30.59	$47.12	$71.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.81 / $35.14 / $60.62	Professional	26	$24.81	$35.14	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $48.43 / $83.74	Professional	TC	$34.61	$48.43	$83.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $110.49 / $120.22	Facility	26	$57.75	$110.49	$120.22
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.16 / $149.40 / $196.13	Professional	26	$145.16	$149.40	$196.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $183.70 / $183.70 / $303.83	Professional	TC	$183.70	$183.70	$303.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.68 / $66.17 / $77.02	Professional	26	$22.68	$66.17	$77.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.93 / $95.31 / $105.90	Professional	TC	$61.93	$95.31	$105.90