Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.34 / $98.00 / $119.94	Facility	26	$63.34	$98.00	$119.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $367.99 / $409.21	Professional		$206.89	$367.99	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.50 / $69.47 / $119.94	Professional	26	$59.50	$69.47	$119.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.55 / $257.97 / $339.73	Professional	TC	$143.55	$257.97	$339.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $143.24 / $143.24	Professional		$143.24	$143.24	$143.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $49.82 / $122.73	Professional	26	$39.27	$49.82	$122.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $453.00 / $453.00	Professional		$453.00	$453.00	$453.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $431.87 / $638.95	Professional		$151.91	$431.87	$638.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.57 / $105.67 / $132.60	Professional	26	$45.57	$105.67	$132.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.36 / $320.98 / $506.35	Professional	TC	$106.36	$320.98	$506.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $140.87	Professional		$32.34	$32.34	$140.87
United Facility/Professional Professional Modifier Low / Median / High Price $199.46 / $263.64 / $538.00	Professional		$199.46	$263.64	$538.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.55 / $66.62 / $126.74	Professional	26	$53.55	$66.62	$126.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.76 / $208.93 / $417.64	Professional	TC	$144.76	$208.93	$417.64