Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $346.55 / $418.92 / $701.07	Facility	26	$346.55	$418.92	$701.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.29 / $2,326.09 / $2,832.78	Professional		$1,400.29	$2,326.09	$2,832.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.55 / $418.92 / $708.41	Professional	26	$346.55	$418.92	$708.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,053.74 / $1,920.41 / $2,131.71	Professional	TC	$1,053.74	$1,920.41	$2,131.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,254.47 / $1,254.47 / $1,254.47	Professional		$1,254.47	$1,254.47	$1,254.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $310.08 / $387.60 / $969.00	Professional	26	$310.08	$387.60	$969.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,760.00 / $2,760.00 / $2,760.00	Professional		$2,760.00	$2,760.00	$2,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.65 / $2,819.78 / $3,699.06	Professional		$1,503.65	$2,819.78	$3,699.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $356.58 / $600.10 / $774.60	Professional	26	$356.58	$600.10	$774.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,147.07 / $2,255.61 / $2,944.62	Professional	TC	$1,147.07	$2,255.61	$2,944.62
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 $1,559.36 / $2,074.58 / $3,831.63	Professional		$1,559.36	$2,074.58	$3,831.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $356.23 / $475.98 / $908.15	Professional	26	$356.23	$475.98	$908.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,213.19 / $1,576.98 / $3,236.83	Professional	TC	$1,213.19	$1,576.98	$3,236.83