Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $222.00 / $253.76	Facility	26	$98.00	$222.00	$253.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $417.89 / $608.07	Professional		$325.00	$417.89	$608.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $134.02 / $253.76	Professional	26	$98.00	$134.02	$253.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $267.56 / $354.31	Professional	TC	$187.13	$267.56	$354.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $257.44 / $316.11	Professional		$220.74	$257.44	$316.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.23 / $105.67 / $260.10	Professional	26	$83.23	$105.67	$260.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $167.89 / $167.89 / $167.89	Professional	TC	$167.89	$167.89	$167.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $421.00 / $421.00	Professional		$421.00	$421.00	$421.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $635.13 / $905.78	Professional		$271.64	$635.13	$905.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.97 / $187.86 / $232.97	Professional	26	$95.97	$187.86	$232.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.67 / $432.47 / $705.20	Professional	TC	$175.67	$432.47	$705.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $254.02	Professional		$32.34	$32.34	$254.02
United Facility/Professional Professional Modifier Low / Median / High Price $322.49 / $434.25 / $1,041.13	Professional		$322.49	$434.25	$1,041.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.76 / $132.99 / $229.76	Professional	26	$92.76	$132.99	$229.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.08 / $285.20 / $913.48	Professional	TC	$209.08	$285.20	$913.48