Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $85.45 / $98.00	Facility	26	$48.04	$85.45	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $259.83 / $325.00	Professional		$146.08	$259.83	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.22 / $57.85 / $98.00	Professional	26	$43.22	$57.85	$98.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $73.04 / $129.91 / $162.50	Professional	52	$73.04	$129.91	$162.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.79 / $185.64 / $227.00	Professional	TC	$103.79	$185.64	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $256.24 / $256.24	Professional		$101.76	$256.24	$256.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.85 / $37.31 / $93.28	Professional	26	$29.85	$37.31	$93.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $262.75 / $262.75	Professional		$262.75	$262.75	$262.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $270.63 / $457.79	Professional		$107.88	$270.63	$457.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.44 / $80.20 / $109.17	Professional	26	$34.44	$80.20	$109.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.44 / $190.43 / $348.47	Professional	TC	$73.44	$190.43	$348.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.27	Professional		$32.34	$32.34	$100.27
United Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $179.97 / $383.72	Professional		$124.79	$179.97	$383.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $50.52 / $103.58	Professional	26	$38.31	$50.52	$103.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.29 / $116.92 / $278.89	Professional	TC	$83.29	$116.92	$278.89