Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.17 / $96.35 / $102.56	Facility	26	$54.17	$96.35	$102.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $194.91 / $325.00	Professional		$139.06	$194.91	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $75.92 / $102.56	Professional	26	$42.14	$75.92	$102.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $135.28 / $227.00	Professional	TC	$84.89	$135.28	$227.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.34 / $64.31 / $78.66	Professional	26	$62.34	$64.31	$78.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $235.69 / $331.89	Professional		$110.22	$235.69	$331.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.39 / $75.75 / $95.90	Professional	26	$38.39	$75.75	$95.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.83 / $151.49 / $237.95	Professional	TC	$71.83	$151.49	$237.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.79	Professional		$32.34	$32.34	$102.79
United Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $158.46 / $327.20	Professional		$127.79	$158.46	$327.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.76 / $54.39 / $93.62	Professional	26	$38.76	$54.39	$93.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.29 / $107.18 / $243.77	Professional	TC	$83.29	$107.18	$243.77