Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.81 / $16.01 / $33.00	Facility	26	$7.81	$16.01	$33.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $36.35 / $127.59	Professional		$25.62	$36.35	$127.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $36.92 / $47.07 / $70.00	Professional	25	$36.92	$47.07	$70.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.02 / $33.00	Professional	26	$7.59	$9.02	$33.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $24.95 / $37.04	Professional	TC	$17.63	$24.95	$37.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $26.57 / $44.36	Professional		$20.49	$26.57	$44.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $11.12 / $14.81	Professional	26	$7.60	$11.12	$14.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $42.02 / $65.26	Professional		$29.05	$42.02	$65.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $10.92 / $17.00	Professional	26	$7.82	$10.92	$17.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $32.09 / $48.38	Professional	TC	$21.24	$32.09	$48.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $39.36 / $62.01	Professional		$27.67	$39.36	$62.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.68 / $16.37	Professional	26	$8.13	$10.68	$16.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.23 / $47.07	Professional	TC	$19.05	$29.23	$47.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $100.00 / $100.00	Facility	26	$18.87	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $132.09 / $132.09	Professional	26	$132.09	$132.09	$132.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $135.32 / $139.38 / $165.23	Professional	TC	$135.32	$139.38	$165.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $39.03 / $67.23	Professional		$29.55	$39.03	$67.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.36 / $16.72	Professional	26	$7.36	$9.36	$16.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $28.93 / $48.71	Professional	TC	$21.60	$28.93	$48.71