Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.53 / $220.14 / $257.82	Facility	26	$173.53	$220.14	$257.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $602.01 / $960.26	Professional		$475.00	$602.01	$960.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $161.63 / $257.82	Professional	26	$140.00	$161.63	$257.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $472.79 / $702.44	Professional	TC	$335.00	$472.79	$702.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $331.50 / $762.45	Professional		$268.57	$331.50	$762.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.23 / $95.58 / $235.05	Professional	26	$77.23	$95.58	$235.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.87 / $974.87 / $974.87	Professional		$974.87	$974.87	$974.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $745.02 / $1,378.05	Professional		$324.64	$745.02	$1,378.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.60 / $167.33 / $210.86	Professional	26	$86.60	$167.33	$210.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.05 / $558.65 / $1,185.33	Professional	TC	$238.05	$558.65	$1,185.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $298.35	Professional		$32.34	$32.34	$298.35
United Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $517.91 / $1,472.01	Professional		$402.18	$517.91	$1,472.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.89 / $121.53 / $219.42	Professional	26	$84.89	$121.53	$219.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.18 / $409.92 / $1,382.32	Professional	TC	$298.18	$409.92	$1,382.32