Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $97.72 / $128.82	Facility	26	$72.44	$97.72	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $407.38	Professional		$169.82	$257.04	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $204.17	Professional	26	$56.23	$81.28	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $154.88 / $269.15	Professional	TC	$107.15	$154.88	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $323.59	Professional		$75.86	$117.49	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $57.54 / $138.04	Professional	26	$45.71	$57.54	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $331.13 / $549.54	Professional		$134.90	$331.13	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $95.50 / $128.82	Professional	26	$45.71	$95.50	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $234.42 / $426.58	Professional	TC	$83.18	$234.42	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $467.74	Professional		$173.78	$229.09	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $123.03	Professional	26	$51.29	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $151.36 / $346.74	Professional	TC	$117.49	$151.36	$346.74