Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $22.25 / $34.13	Facility	26	$19.50	$22.25	$34.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $72.78 / $140.86	Professional		$64.61	$72.78	$140.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.25 / $20.48 / $51.85	Professional	26	$17.25	$20.48	$51.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.36 / $53.90 / $70.40	Professional	TC	$47.36	$53.90	$70.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $80.11 / $120.66	Professional		$80.11	$80.11	$120.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.86 / $35.19	Professional	26	$19.05	$22.86	$35.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $92.90 / $146.69	Professional		$51.76	$92.90	$146.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $27.34 / $46.86	Professional	26	$17.89	$27.34	$46.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.57 / $69.65 / $118.86	Professional	TC	$45.57	$69.65	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $104.06 / $104.06	Facility	26	$75.00	$104.06	$104.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $468.55 / $636.15	Professional		$468.55	$468.55	$636.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $126.27 / $126.27 / $168.23	Professional	26	$126.27	$126.27	$168.23
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $342.28 / $342.28 / $467.93	Professional	TC	$342.28	$342.28	$467.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $109.73 / $187.76	Professional		$69.80	$109.73	$187.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.46 / $24.11 / $44.18	Professional	26	$19.46	$24.11	$44.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $83.39 / $134.75	Professional	TC	$50.02	$83.39	$134.75