Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $102.54 / $186.46	Facility	26	$98.00	$102.54	$186.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $453.99 / $540.77	Professional		$285.60	$453.99	$540.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $98.00 / $186.46	Professional	26	$75.65	$98.00	$186.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $332.84 / $386.24	Professional	TC	$187.13	$332.84	$386.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $240.13 / $523.78	Professional		$219.74	$240.13	$523.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.76 / $85.07 / $189.90	Professional	26	$60.76	$85.07	$189.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $137.91 / $137.91 / $137.91	Professional	TC	$137.91	$137.91	$137.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.00 / $698.00 / $698.00	Professional		$698.00	$698.00	$698.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $496.53 / $1,018.16	Professional		$232.08	$496.53	$1,018.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.27 / $136.55 / $172.03	Professional	26	$70.27	$136.55	$172.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.82 / $371.13 / $850.04	Professional	TC	$161.82	$371.13	$850.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.12	Professional		$32.34	$32.34	$216.12
United Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $370.19 / $869.97	Professional		$263.58	$370.19	$869.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.93 / $100.41 / $169.24	Professional	26	$71.93	$100.41	$169.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.10 / $268.39 / $677.76	Professional	TC	$181.10	$268.39	$677.76