Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $177.83	Facility	26	$109.65	$120.23	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $758.58	Professional		$269.15	$446.68	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $120.23 / $223.87	Professional	26	$72.44	$120.23	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $338.84 / $588.84	Professional	TC	$204.17	$338.84	$588.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $64.57 / $109.65	Professional	26	$56.23	$64.57	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $776.25	Professional		$223.87	$478.63	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $114.82 / $151.36	Professional	26	$52.48	$114.82	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $354.81 / $660.69	Professional	TC	$162.18	$354.81	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $831.76	Professional		$257.04	$354.81	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $147.91	Professional	26	$60.26	$81.28	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $269.15 / $707.95	Professional	TC	$194.98	$269.15	$707.95