Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $14.13 / $16.22	Facility	26	$7.59	$14.13	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $165.96	Professional		$23.99	$42.66	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.00 / $38.90	Professional	26	$6.46	$10.00	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $50.12	Professional	TC	$15.85	$22.39	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $57.54	Professional		$16.98	$24.55	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.71 / $13.80	Professional	26	$5.62	$8.71	$13.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $54.95	Professional		$20.89	$33.88	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $16.60	Professional	26	$7.94	$10.96	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $42.66	Professional	TC	$19.50	$26.92	$42.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.74 / $8.13 / $11.48	Facility	26	$1.74	$8.13	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $70.79	Professional		$25.12	$39.81	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $15.14	Professional	26	$7.24	$10.23	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $56.23	Professional	TC	$17.38	$28.18	$56.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $104.71 / $104.71	Facility	26	$100.00	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $147.91 / $229.09	Professional	26	$147.91	$147.91	$229.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $63.10	Professional		$23.99	$33.11	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.91 / $14.45	Professional	26	$6.76	$8.91	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $48.98	Professional	TC	$16.98	$22.91	$48.98