Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $97.72 / $123.03	Facility	26	$67.61	$97.72	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $512.86	Professional		$173.78	$269.15	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $144.54	Professional	26	$52.48	$69.18	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $190.55 / $371.54	Professional	TC	$120.23	$190.55	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $91.20	Professional	26	$42.66	$58.88	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $537.03	Professional		$141.25	$323.59	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $91.20 / $123.03	Professional	26	$43.65	$91.20	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $245.47 / $416.87	Professional	TC	$93.33	$245.47	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $562.34	Professional		$169.82	$239.88	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $117.49	Professional	26	$47.86	$67.61	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $162.18 / $446.68	Professional	TC	$114.82	$162.18	$446.68