Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.30 / $13.57 / $32.70	Facility	26	$8.30	$13.57	$32.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $60.81 / $116.23	Professional		$52.20	$60.81	$116.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $9.36 / $35.03	Professional	26	$7.83	$9.36	$35.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.47 / $28.20 / $37.97	Professional	52	$25.47	$28.20	$37.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $49.26 / $80.89	Professional	TC	$43.56	$49.26	$80.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $66.29 / $86.91	Professional		$47.13	$66.29	$86.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.88 / $16.11	Professional	26	$8.06	$10.88	$16.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $39.45 / $42.21	Professional	TC	$39.45	$39.45	$42.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $72.90 / $115.70	Professional		$52.60	$72.90	$115.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $12.21 / $18.66	Professional	26	$8.77	$12.21	$18.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.20 / $62.22 / $97.04	Professional	TC	$44.20	$62.22	$97.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $69.73 / $107.67	Professional		$51.13	$69.73	$107.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $11.42 / $17.67	Professional	26	$8.84	$11.42	$17.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.83 / $58.60 / $90.48	Professional	TC	$42.83	$58.60	$90.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $80.00 / $85.00	Facility	26	$20.60	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $373.69 / $373.69 / $472.95	Professional		$373.69	$373.69	$472.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $55.28 / $70.05	Professional	26	$55.28	$55.28	$70.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $318.41 / $318.41 / $402.90	Professional	TC	$318.41	$318.41	$402.90
United Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $60.56 / $106.63	Professional		$48.02	$60.56	$106.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $10.33 / $18.41	Professional	26	$7.69	$10.33	$18.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.44 / $51.08 / $87.99	Professional	TC	$40.44	$51.08	$87.99