Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $39.81	Facility	26	$21.88	$21.88	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $173.78	Professional		$61.66	$77.62	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $42.66	Professional	26	$19.95	$25.12	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.30 / $53.70	Professional	26	$19.05	$26.30	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $218.78	Professional		$60.26	$123.03	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $44.67	Professional	26	$16.98	$28.84	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $39.81	Professional		$32.36	$33.11	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $288.40	Professional		$66.07	$93.33	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.55 / $38.02	Professional	26	$15.14	$24.55	$38.02