Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $75.86	Facility	26	$38.90	$38.90	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $190.55	Professional		$79.43	$100.00	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $43.65 / $91.20	Professional	26	$20.89	$43.65	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $53.70 / $131.83	Professional	TC	$42.66	$53.70	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $107.15	Professional	26	$30.90	$41.69	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $467.74	Professional		$67.61	$138.04	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $31.62 / $66.07	Professional	26	$18.62	$31.62	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $104.71 / $446.68	Professional	TC	$40.74	$104.71	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.02	Professional		$32.36	$33.11	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $549.54	Professional		$83.18	$120.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $38.90 / $60.26	Professional	26	$15.14	$38.90	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $72.44 / $478.63	Professional	TC	$51.29	$72.44	$478.63