Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.44 / $278.50 / $282.44	Facility	26	$96.44	$278.50	$282.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $373.79 / $956.13	Professional		$300.04	$373.79	$956.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.44 / $110.37 / $282.44	Professional	26	$96.44	$110.37	$282.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.49 / $230.04 / $673.70	Professional	TC	$198.49	$230.04	$673.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Professional		$604.00	$604.00	$604.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $575.00 / $575.00	Professional		$575.00	$575.00	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $523.83 / $655.22	Professional		$316.60	$523.83	$655.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.09 / $189.42 / $228.78	Professional	26	$102.09	$189.42	$228.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.44 / $355.39 / $433.56	Professional	TC	$204.44	$355.39	$433.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $413.53 / $809.66	Professional		$313.98	$413.53	$809.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.09 / $147.13 / $258.43	Professional	26	$102.09	$147.13	$258.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.73 / $264.51 / $496.26	Professional	TC	$178.73	$264.51	$496.26