Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $43.65 / $100.00	Facility	26	$40.74	$43.65	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $354.81	Professional		$131.83	$181.97	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $53.70 / $102.33	Professional	26	$40.74	$53.70	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $120.23 / $218.78	Professional	TC	$89.13	$120.23	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $229.09	Professional		$112.20	$128.82	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $75.86	Professional	26	$34.67	$46.77	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $93.33 / $154.88	Professional	TC	$91.20	$93.33	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $316.23	Professional		$112.20	$213.80	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $67.61 / $95.50	Professional	26	$34.67	$67.61	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $144.54 / $218.78	Professional	TC	$85.11	$144.54	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $281.84	Professional		$138.04	$181.97	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $87.10	Professional	26	$42.66	$56.23	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $125.89 / $190.55	Professional	TC	$95.50	$125.89	$190.55