Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.33 / $29.30 / $196.33	Facility	26	$21.33	$29.30	$196.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $36.24 / $78.75	Professional		$30.95	$36.24	$78.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $23.86 / $48.22	Professional	26	$20.93	$23.86	$48.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.19 / $17.05 / $22.85	Professional	52	$15.19	$17.05	$22.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $11.64 / $17.57	Professional	TC	$9.92	$11.64	$17.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $42.03 / $57.28	Professional		$28.32	$42.03	$57.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $27.05 / $40.43	Professional	26	$22.19	$27.05	$40.43
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.19 / $8.19 / $8.19	Professional	52	$8.19	$8.19	$8.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $44.56 / $71.06	Professional		$32.21	$44.56	$71.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $30.51 / $47.35	Professional	26	$21.83	$30.51	$47.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $14.10 / $22.10	Professional	TC	$9.92	$14.10	$22.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $42.73 / $66.75	Professional		$32.35	$42.73	$66.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $29.38 / $45.59	Professional	26	$22.20	$29.38	$45.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.15 / $14.05 / $21.79	Professional	TC	$10.15	$14.05	$21.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $98.42 / $106.50	Facility	26	$51.77	$98.42	$106.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $209.51 / $283.13	Professional		$209.51	$209.51	$283.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $138.46 / $138.46 / $174.45	Professional	26	$138.46	$138.46	$174.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $71.05 / $71.05 / $108.68	Professional	TC	$71.05	$71.05	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $37.86 / $66.84	Professional		$29.15	$37.86	$66.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $25.26 / $46.23	Professional	26	$19.94	$25.26	$46.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.21 / $11.59 / $20.14	Professional	TC	$9.21	$11.59	$20.14