Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $101.79 / $192.72	Facility	26	$98.00	$101.79	$192.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $438.48 / $547.85	Professional		$289.33	$438.48	$547.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.23 / $101.79 / $192.72	Professional	26	$82.23	$101.79	$192.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.55 / $333.60 / $386.24	Professional	TC	$187.55	$333.60	$386.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $530.16 / $530.16 / $530.16	Professional		$530.16	$530.16	$530.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $78.98 / $197.48	Professional	26	$62.68	$78.98	$197.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $208.26 / $208.26 / $208.26	Professional	TC	$208.26	$208.26	$208.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $575.00 / $575.00	Professional		$575.00	$575.00	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $512.04 / $888.85	Professional		$256.89	$512.04	$888.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.80 / $147.71 / $182.97	Professional	26	$72.80	$147.71	$182.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.10 / $354.91 / $706.13	Professional	TC	$184.10	$354.91	$706.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.45	Professional		$32.34	$32.34	$238.45
United Facility/Professional Professional Modifier Low / Median / High Price $287.31 / $373.68 / $830.56	Professional		$287.31	$373.68	$830.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.41 / $104.81 / $176.23	Professional	26	$75.41	$104.81	$176.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.32 / $272.62 / $667.62	Professional	TC	$200.32	$272.62	$667.62