Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.13 / $105.26 / $176.26	Facility	26	$87.13	$105.26	$176.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.43 / $458.97 / $652.27	Professional		$322.43	$458.97	$652.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.13 / $105.26 / $176.26	Professional	26	$87.13	$105.26	$176.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.30 / $355.54 / $476.01	Professional	TC	$235.30	$355.54	$476.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $96.75 / $140.29 / $241.88	Professional	26	$96.75	$140.29	$241.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $558.00 / $558.00	Professional		$558.00	$558.00	$558.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $573.16 / $751.51	Professional		$333.90	$573.16	$751.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.41 / $149.53 / $196.06	Professional	26	$89.41	$149.53	$196.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $423.64 / $567.66	Professional	TC	$244.49	$423.64	$567.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $368.69 / $491.39 / $1,001.65	Professional		$368.69	$491.39	$1,001.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.38 / $123.49 / $257.27	Professional	26	$88.38	$123.49	$257.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.17 / $366.05 / $751.33	Professional	TC	$275.17	$366.05	$751.33