Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $15.86 / $30.50	Facility	26	$11.22	$15.86	$30.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $58.97 / $109.78	Professional		$49.85	$58.97	$109.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.25 / $51.09	Professional	26	$11.08	$13.25	$51.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.08 / $27.03 / $36.45	Professional	52	$24.08	$27.03	$36.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $43.55 / $72.88	Professional	TC	$37.54	$43.55	$72.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $57.50 / $85.81	Professional		$45.32	$57.50	$85.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $16.35 / $21.80	Professional	26	$10.30	$16.35	$21.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $37.65 / $37.65	Professional	TC	$37.65	$37.65	$37.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $70.19 / $108.91	Professional		$49.74	$70.19	$108.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $16.70 / $26.22	Professional	26	$11.96	$16.70	$26.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.44 / $53.75 / $81.75	Professional	TC	$38.44	$53.75	$81.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $67.91 / $106.62	Professional		$50.01	$67.91	$106.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $15.86 / $24.85	Professional	26	$12.07	$15.86	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.22 / $51.92 / $82.55	Professional	TC	$38.22	$51.92	$82.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $80.00 / $85.00	Facility	26	$27.92	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $346.85 / $478.05	Professional		$346.85	$346.85	$478.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.58 / $74.58 / $93.83	Professional	26	$74.58	$74.58	$93.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $272.27 / $272.27 / $384.23	Professional	TC	$272.27	$272.27	$384.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $61.96 / $104.36	Professional		$46.33	$61.96	$104.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $14.19 / $24.98	Professional	26	$10.74	$14.19	$24.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.59 / $45.05 / $78.76	Professional	TC	$35.59	$45.05	$78.76