Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $51.29	Facility	26	$19.50	$19.50	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $112.20	Professional		$34.67	$54.95	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $66.07	Professional	26	$22.91	$29.51	$66.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	52	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $47.86	Professional	TC	$15.85	$22.91	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $77.62	Professional		$32.36	$36.31	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $54.95	Professional	26	$20.89	$30.90	$54.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $20.42 / $44.67	Professional	TC	$10.72	$20.42	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $60.26 / $112.20	Professional		$22.91	$60.26	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $70.79	Professional	26	$28.84	$44.67	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $35.48 / $56.23	Professional	TC	$22.39	$35.48	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	26	$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $14.13	Professional	TC	$14.13	$14.13	$14.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $363.08	Professional		$331.13	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $229.09 / $229.09	Professional	26	$181.97	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	TC	$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $104.71	Professional		$50.12	$66.07	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $58.88	Professional	26	$27.54	$36.31	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $45.71	Professional	TC	$22.91	$28.84	$45.71