Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.66 / $17.94 / $35.70	Facility	26	$11.66	$17.94	$35.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $93.77 / $183.22	Professional		$75.09	$93.77	$183.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $12.85 / $31.66	Professional	26	$11.14	$12.85	$31.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.54 / $43.48 / $78.06	Professional	52	$37.54	$43.48	$78.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.70 / $80.63 / $132.31	Professional	TC	$64.70	$80.63	$132.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $63.62 / $106.92	Professional		$48.47	$63.62	$106.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.62 / $21.49	Professional	26	$8.51	$11.62	$21.49
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $23.20 / $23.20 / $23.20	Professional	52	$23.20	$23.20	$23.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $114.48 / $172.78	Professional		$69.90	$114.48	$172.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $15.60 / $24.16	Professional	26	$10.71	$15.60	$24.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.29 / $101.48 / $153.97	Professional	TC	$61.29	$101.48	$153.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $13.54 / $13.54	Facility	26	$13.54	$13.54	$13.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $109.67 / $188.29	Professional		$74.31	$109.67	$188.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $15.53 / $26.54	Professional	26	$11.50	$15.53	$26.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.05 / $96.39 / $171.48	Professional	TC	$65.05	$96.39	$171.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $125.86 / $125.86	Facility	26	$27.12	$125.86	$125.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $692.85 / $768.54 / $789.60	Professional		$692.85	$768.54	$789.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $267.48 / $267.48 / $267.48	Professional	26	$267.48	$267.48	$267.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $596.40 / $698.48 / $717.62	Professional	TC	$596.40	$698.48	$717.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $104.56 / $170.73	Professional		$77.95	$104.56	$170.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $14.35 / $25.96	Professional	26	$11.69	$14.35	$25.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.27 / $88.96 / $152.82	Professional	TC	$66.27	$88.96	$152.82