Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.78 / $23.80 / $40.02	Facility	26	$19.78	$23.80	$40.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $61.97 / $78.06	Professional		$30.63	$61.97	$78.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $27.42 / $40.02	Professional	26	$19.78	$27.42	$40.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.85 / $21.95 / $53.67	Professional	TC	$10.85	$21.95	$53.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $24.58 / $54.85	Professional	26	$17.55	$24.58	$54.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $97.30 / $136.11	Professional		$32.76	$97.30	$136.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $39.33 / $52.22	Professional	26	$20.25	$39.33	$52.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.51 / $50.38 / $85.18	Professional	TC	$12.51	$50.38	$85.18
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 $43.52 / $76.13 / $146.12	Professional		$43.52	$76.13	$146.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $27.89 / $57.75	Professional	26	$21.76	$27.89	$57.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $37.84 / $82.29	Professional	TC	$20.27	$37.84	$82.29