Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $11.75 / $32.36	Facility	26	$8.32	$11.75	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $162.18	Professional		$51.29	$67.61	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $26.30	Professional	26	$7.94	$10.47	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $93.33	Professional	TC	$42.66	$51.29	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $77.62	Professional		$43.65	$53.70	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $13.49	Professional	26	$8.13	$10.00	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $114.82	Professional		$40.74	$69.18	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $19.95	Professional	26	$9.12	$13.18	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $97.72	Professional	TC	$46.77	$64.57	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $109.65	Professional		$51.29	$69.18	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $17.78	Professional	26	$8.71	$11.48	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $57.54 / $91.20	Professional	TC	$41.69	$57.54	$91.20
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $467.74	Professional		$371.54	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $70.79	Professional	26	$54.95	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $407.38 / $407.38	Professional	TC	$316.23	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $100.00	Professional		$46.77	$61.66	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $16.98	Professional	26	$7.59	$10.23	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $51.29 / $83.18	Professional	TC	$39.81	$51.29	$83.18