Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $21.38 / $26.30	Facility	26	$16.98	$21.38	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $229.09	Professional		$70.79	$104.71	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.91 / $66.07	Professional	26	$16.98	$22.91	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $70.79 / $173.78	Professional	TC	$52.48	$70.79	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $31.62	Professional	26	$15.14	$15.14	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $165.96	Professional		$91.20	$100.00	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $50.12	Professional	26	$19.95	$30.20	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $75.86 / $109.65	Professional	TC	$54.95	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $162.18	Professional		$79.43	$100.00	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $24.55 / $40.74	Professional	26	$19.05	$24.55	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $77.62 / $123.03	Professional	TC	$60.26	$77.62	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $177.83	Professional		$72.44	$97.72	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $40.74	Professional	26	$19.05	$23.99	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $131.83	Professional	TC	$52.48	$74.13	$131.83