Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $446.68	Professional		$173.78	$213.80	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $52.48 / $128.82	Professional	26	$42.66	$52.48	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $158.49 / $281.84	Professional	TC	$125.89	$158.49	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $89.13	Professional	26	$38.90	$47.86	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $275.42	Professional		$177.83	$199.53	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $52.48 / $74.13	Professional	26	$43.65	$52.48	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $144.54 / $204.17	Professional	TC	$131.83	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $489.78	Professional		$229.09	$281.84	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $109.65	Professional	26	$51.29	$66.07	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $208.93 / $346.74	Professional	TC	$169.82	$208.93	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $446.68	Professional		$208.93	$263.03	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $107.15	Professional	26	$51.29	$64.57	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $194.98 / $338.84	Professional	TC	$154.88	$194.98	$338.84