Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.28 / $121.63 / $180.70	Facility	26	$112.28	$121.63	$180.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.67 / $475.00 / $603.89	Professional		$400.67	$475.00	$603.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.28 / $140.00 / $180.70	Professional	26	$112.28	$140.00	$180.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.83 / $335.00 / $423.19	Professional	TC	$284.83	$335.00	$423.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $65.14 / $127.16	Professional	26	$52.00	$65.14	$127.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $680.00	Professional		$680.00	$680.00	$680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.25 / $580.37 / $984.06	Professional		$207.25	$580.37	$984.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.98 / $96.27 / $142.50	Professional	26	$57.98	$96.27	$142.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.78 / $415.36 / $868.85	Professional	TC	$146.78	$415.36	$868.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.24	Professional		$32.34	$32.34	$192.24
United Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $364.19 / $1,010.12	Professional		$245.70	$364.19	$1,010.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.55 / $80.25 / $137.63	Professional	26	$47.55	$80.25	$137.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.40 / $296.63 / $899.37	Professional	TC	$174.40	$296.63	$899.37