Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $21.38 / $21.38	Facility	26	$10.00	$21.38	$21.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $38.90	Professional	26	$7.94	$12.02	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $15.85 / $36.31	Professional	TC	$12.88	$15.85	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $23.44 / $39.81	Professional	26	$20.42	$23.44	$39.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.48 / $53.70	Professional	26	$25.70	$35.48	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $48.98 / $74.13	Professional	TC	$36.31	$48.98	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $61.66	Professional	26	$25.12	$35.48	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $85.11	Professional	TC	$34.67	$48.98	$85.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $194.98 / $194.98	Professional	26	$144.54	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $302.00	Professional	TC	$181.97	$302.00	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $38.02 / $74.13	Professional	26	$20.89	$38.02	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $54.95 / $104.71	Professional	TC	$28.18	$54.95	$104.71