Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.09 / $182.79 / $214.08	Facility	26	$144.09	$182.79	$214.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $475.00 / $669.09	Professional		$450.00	$475.00	$669.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.22 / $144.09 / $214.08	Professional	26	$134.22	$144.09	$214.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $306.26 / $335.00 / $455.01	Professional	TC	$306.26	$335.00	$455.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $77.97 / $152.59	Professional	26	$62.17	$77.97	$152.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Professional		$870.00	$870.00	$870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $514.21 / $974.03	Professional		$228.31	$514.21	$974.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $139.04 / $175.80	Professional	26	$71.87	$139.04	$175.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.44 / $358.85 / $812.10	Professional	TC	$156.44	$358.85	$812.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.48	Professional		$32.34	$32.34	$211.48
United Facility/Professional Professional Modifier Low / Median / High Price $277.92 / $401.91 / $987.84	Professional		$277.92	$401.91	$987.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.95 / $100.44 / $182.62	Professional	26	$70.95	$100.44	$182.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.60 / $283.77 / $758.17	Professional	TC	$191.60	$283.77	$758.17