Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $248.84 / $550.92	Facility		$47.35	$248.84	$550.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $28.76 / $63.16	Facility	26	$26.07	$28.76	$63.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $89.32 / $221.30	Professional		$47.35	$89.32	$221.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $32.26 / $63.16	Professional	26	$26.26	$32.26	$63.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $39.79 / $173.10	Professional	TC	$21.27	$39.79	$173.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $62.25 / $83.01	Professional		$37.47	$62.25	$83.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $30.16 / $64.23	Professional	26	$22.28	$30.16	$64.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $263.00 / $263.00	Professional		$263.00	$263.00	$263.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $88.27 / $309.00	Professional		$47.74	$88.27	$309.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $43.70 / $64.91	Professional	26	$25.66	$43.70	$64.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $39.19 / $251.06	Professional	TC	$20.17	$39.19	$251.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $32.34 / $32.34	Professional		$25.14	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $67.19 / $208.12	Professional		$49.70	$67.19	$208.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $35.25 / $66.16	Professional	26	$26.78	$35.25	$66.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $31.18 / $152.01	Professional	TC	$21.57	$31.18	$152.01