Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.70 / $98.00 / $120.61	Facility	26	$63.70	$98.00	$120.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $294.07 / $325.00	Professional		$170.63	$294.07	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $75.68 / $120.61	Professional	26	$48.57	$75.68	$120.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.93 / $192.08 / $229.28	Professional	TC	$106.93	$192.08	$229.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.09 / $95.80 / $122.73	Professional	26	$49.09	$95.80	$122.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $399.00	Professional		$399.00	$399.00	$399.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $267.10 / $440.08	Professional		$125.19	$267.10	$440.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.57 / $88.60 / $111.68	Professional	26	$45.57	$88.60	$111.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.62 / $168.41 / $337.78	Professional	TC	$79.62	$168.41	$337.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.81	Professional		$32.34	$32.34	$116.81
United Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $198.78 / $484.25	Professional		$145.63	$198.78	$484.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.57 / $64.34 / $104.79	Professional	26	$44.57	$64.34	$104.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.86 / $129.49 / $341.80	Professional	TC	$90.86	$129.49	$341.80