Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.00 / $4.80 / $6.20	Facility	26	$3.00	$4.80	$6.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $35.97 / $95.00	Professional		$22.53	$35.97	$95.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.86 / $3.81 / $14.55	Professional	26	$2.86	$3.81	$14.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.93 / $12.41 / $20.21	Professional	52	$10.93	$12.41	$20.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $25.70 / $48.47	Professional	TC	$19.52	$25.70	$48.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $29.91 / $40.72	Professional		$15.95	$29.91	$40.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.84 / $5.38 / $7.12	Professional	26	$2.84	$5.38	$7.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $34.77 / $57.08	Professional		$23.05	$34.77	$57.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.13 / $4.70 / $7.12	Professional	26	$3.13	$4.70	$7.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $28.79 / $51.65	Professional	TC	$19.92	$28.79	$51.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $37.04 / $135.50	Professional		$22.98	$37.04	$135.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.17 / $4.76 / $7.46	Professional	26	$3.17	$4.76	$7.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.75 / $32.01 / $130.60	Professional	TC	$19.75	$32.01	$130.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $101.15 / $137.01	Facility	26	$39.94	$101.15	$137.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.89 / $724.06 / $724.06	Professional		$572.89	$724.06	$724.06
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $175.02 / $289.41 / $289.41	Professional	26	$175.02	$289.41	$289.41
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $660.75 / $680.57 / $680.57	Professional	TC	$660.75	$680.57	$680.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $33.22 / $116.28	Professional		$21.61	$33.22	$116.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.96 / $3.96 / $6.93	Professional	26	$2.96	$3.96	$6.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $28.05 / $64.56	Professional	TC	$18.85	$28.05	$64.56