Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.13 / $27.24 / $35.29	Facility	26	$17.13	$27.24	$35.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $64.63 / $185.00	Professional		$48.71	$64.63	$185.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $21.65 / $72.00	Professional	26	$16.71	$21.65	$72.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $41.33 / $66.56	Professional	TC	$31.59	$41.33	$66.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $90.05 / $90.05	Professional		$90.05	$90.05	$90.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $30.67 / $38.32	Professional	26	$24.36	$30.67	$38.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $72.78 / $110.42	Professional		$49.08	$72.78	$110.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.09 / $26.05 / $39.53	Professional	26	$18.09	$26.05	$39.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $46.57 / $75.09	Professional	TC	$32.22	$46.57	$75.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $79.01 / $132.24	Professional		$50.25	$79.01	$132.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $25.61 / $42.02	Professional	26	$17.98	$25.61	$42.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $50.46 / $94.45	Professional	TC	$32.15	$50.46	$94.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $128.36 / $128.36	Facility	26	$41.47	$128.36	$128.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.57 / $604.11 / $624.04	Professional		$437.57	$604.11	$624.04
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $246.01 / $456.30 / $456.30	Professional	26	$246.01	$456.30	$456.30
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $388.70 / $400.36 / $400.36	Professional	TC	$388.70	$400.36	$400.36
United Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $69.52 / $118.96	Professional		$47.60	$69.52	$118.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $23.60 / $40.82	Professional	26	$16.89	$23.60	$40.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $42.55 / $78.31	Professional	TC	$31.09	$42.55	$78.31