Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.50 / $15.80 / $35.20	Facility	26	$11.50	$15.80	$35.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $44.37 / $75.79	Professional		$39.72	$44.37	$75.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $12.67 / $23.35	Professional	26	$11.08	$12.67	$23.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.23 / $31.26 / $51.66	Professional	TC	$28.23	$31.26	$51.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $48.00 / $73.18	Professional		$36.19	$48.00	$73.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $13.83 / $21.80	Professional	26	$9.92	$13.83	$21.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.68 / $29.68 / $29.68	Professional	TC	$29.68	$29.68	$29.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $55.46 / $86.50	Professional		$40.54	$55.46	$86.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $16.70 / $25.53	Professional	26	$11.96	$16.70	$25.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $39.93 / $61.46	Professional	TC	$28.62	$39.93	$61.46
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 $40.60 / $54.01 / $85.27	Professional		$40.60	$54.01	$85.27
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 $28.65 / $38.29 / $60.28	Professional	TC	$28.65	$38.29	$60.28
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 $277.95 / $277.95 / $377.85	Professional		$277.95	$277.95	$377.85
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 $203.39 / $203.39 / $284.02	Professional	TC	$203.39	$203.39	$284.02
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $46.66 / $82.50	Professional		$37.72	$46.66	$82.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $14.00 / $24.93	Professional	26	$10.54	$14.00	$24.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $33.96 / $59.16	Professional	TC	$26.74	$33.96	$59.16