Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.24 / $35.40 / $42.29	Facility	26	$14.24	$35.40	$42.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $40.95 / $75.48	Professional		$35.34	$40.95	$75.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $15.07 / $26.22	Professional	26	$13.30	$15.07	$26.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $25.10 / $40.08	Professional	TC	$21.52	$25.10	$40.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $41.66 / $52.08	Professional		$31.60	$41.66	$52.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $16.01 / $26.60	Professional	26	$14.33	$16.01	$26.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $49.82 / $76.93	Professional		$35.86	$49.82	$76.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $19.89 / $30.80	Professional	26	$14.14	$19.89	$30.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $30.23 / $45.92	Professional	TC	$21.79	$30.23	$45.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $46.57 / $73.79	Professional		$36.47	$46.57	$73.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $18.98 / $28.81	Professional	26	$14.32	$18.98	$28.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $28.39 / $45.35	Professional	TC	$22.05	$28.39	$45.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $89.60 / $112.43	Professional	26	$89.60	$89.60	$112.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $198.00 / $198.00 / $213.38	Professional	TC	$198.00	$198.00	$213.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $41.95 / $74.38	Professional		$32.54	$41.95	$74.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.91 / $29.68	Professional	26	$12.89	$16.91	$29.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $25.47 / $44.83	Professional	TC	$19.11	$25.47	$44.83