Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.07 / $38.47 / $84.49	Facility	26	$35.07	$38.47	$84.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $114.84 / $194.84	Professional		$92.35	$114.84	$194.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.33 / $42.69 / $81.26	Professional	26	$35.33	$42.69	$81.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $74.00 / $128.96	Professional	TC	$56.82	$74.00	$128.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $93.56 / $130.80	Professional		$79.52	$93.56	$130.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.71 / $41.54 / $92.73	Professional	26	$29.71	$41.54	$92.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.76 / $63.25 / $67.76	Professional	TC	$53.76	$63.25	$67.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $141.18 / $225.08	Professional		$78.56	$141.18	$225.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $55.91 / $83.06	Professional	26	$34.61	$55.91	$83.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $85.90 / $142.02	Professional	TC	$49.72	$85.90	$142.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.70	Professional		$32.34	$32.34	$52.70
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $115.13 / $180.86	Professional		$84.04	$115.13	$180.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.27 / $47.64 / $80.41	Professional	26	$34.27	$47.64	$80.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.92 / $71.81 / $117.48	Professional	TC	$49.92	$71.81	$117.48