Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.82 / $29.22 / $64.17	Facility	26	$26.82	$29.22	$64.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $102.41 / $158.38	Professional		$69.70	$102.41	$158.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $40.21 / $64.79	Professional	26	$27.13	$40.21	$64.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $62.21 / $94.21	Professional	TC	$41.58	$62.21	$94.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $59.24 / $105.60	Professional		$55.76	$59.24	$105.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $28.38 / $55.44	Professional	26	$22.71	$28.38	$55.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.33 / $46.27 / $49.57	Professional	TC	$39.33	$46.27	$49.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $110.21 / $172.34	Professional		$61.32	$110.21	$172.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.14 / $43.53 / $61.90	Professional	26	$26.14	$43.53	$61.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.21 / $66.83 / $107.22	Professional	TC	$40.21	$66.83	$107.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.14	Professional		$32.34	$32.34	$38.14
United Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $91.33 / $159.58	Professional		$68.47	$91.33	$159.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.54 / $35.53 / $65.28	Professional	26	$25.54	$35.53	$65.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.04 / $53.60 / $100.51	Professional	TC	$42.04	$53.60	$100.51