Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $21.22 / $45.90	Facility	26	$9.59	$21.22	$45.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $62.60 / $196.37	Professional		$37.40	$62.60	$196.37
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $90.40 / $90.40 / $90.40	Professional	25	$90.40	$90.40	$90.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $13.69 / $51.00	Professional	26	$9.75	$13.69	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $43.07 / $64.02	Professional	TC	$27.26	$43.07	$64.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $41.54 / $101.20	Professional		$31.32	$41.54	$101.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.58 / $21.31	Professional	26	$8.78	$12.58	$21.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $24.23 / $26.36	Professional	TC	$22.84	$24.23	$26.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $72.37 / $108.98	Professional		$48.30	$72.37	$108.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $17.05 / $25.18	Professional	26	$11.03	$17.05	$25.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $55.53 / $83.30	Professional	TC	$37.10	$55.53	$83.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $64.69 / $105.17	Professional		$39.65	$64.69	$105.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $16.39 / $26.56	Professional	26	$10.90	$16.39	$26.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.42 / $48.83 / $80.48	Professional	TC	$29.42	$48.83	$80.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $100.00 / $100.00	Facility	26	$23.82	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $632.00 / $632.00	Professional		$632.00	$632.00	$632.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $223.21 / $229.91 / $229.91	Professional	26	$223.21	$229.91	$229.91
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $247.28 / $259.02 / $266.13	Professional	TC	$247.28	$259.02	$266.13
United Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $63.28 / $108.49	Professional		$49.42	$63.28	$108.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $15.53 / $26.09	Professional	26	$11.08	$15.53	$26.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.00 / $49.26 / $81.22	Professional	TC	$37.00	$49.26	$81.22