Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.32 / $45.31 / $57.79	Facility	26	$26.32	$45.31	$57.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $113.67 / $256.89	Professional		$90.73	$113.67	$256.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $27.09 / $57.79	Professional	26	$23.91	$27.09	$57.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $86.58 / $199.10	Professional	TC	$66.45	$86.58	$199.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $43.41 / $43.41	Professional	26	$43.41	$43.41	$43.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $158.00	Professional		$158.00	$158.00	$158.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $146.40 / $194.77	Professional		$89.80	$146.40	$194.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $42.43 / $56.42	Professional	26	$23.70	$42.43	$56.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.71 / $109.01 / $139.59	Professional	TC	$62.71	$109.01	$139.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $32.34 / $94.97	Professional		$23.32	$32.34	$94.97
United Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $126.96 / $204.88	Professional		$80.37	$126.96	$204.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.77 / $33.35 / $57.41	Professional	26	$22.77	$33.35	$57.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.82 / $91.27 / $147.71	Professional	TC	$54.82	$91.27	$147.71