Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $104.71 / $213.80	Facility	26	$87.10	$104.71	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,047.13	Professional		$323.59	$436.52	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $112.20 / $177.83	Professional	26	$87.10	$112.20	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $323.59 / $501.19	Professional	TC	$234.42	$323.59	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $102.33 / $239.88	Professional	26	$89.13	$102.33	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $758.58	Professional		$331.13	$588.84	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $194.98	Professional	26	$89.13	$151.36	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $436.52 / $562.34	Professional	TC	$245.47	$436.52	$562.34
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 $338.84 / $467.74 / $812.83	Professional		$338.84	$467.74	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $117.49 / $213.80	Professional	26	$89.13	$117.49	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $354.81 / $602.56	Professional	TC	$251.19	$354.81	$602.56