Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $100.00 / $181.97	Facility	26	$97.72	$100.00	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $676.08	Professional		$257.04	$309.03	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $97.72 / $204.17	Professional	26	$54.95	$97.72	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $407.38	Professional	TC	$169.82	$218.78	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $134.90	Professional	26	$64.57	$89.13	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $891.25	Professional		$251.19	$501.19	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $134.90 / $186.21	Professional	26	$64.57	$134.90	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $354.81 / $707.95	Professional	TC	$177.83	$354.81	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $831.76	Professional		$275.42	$371.54	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $177.83	Professional	26	$75.86	$100.00	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $660.69	Professional	TC	$190.55	$269.15	$660.69