Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.77 / $39.57 / $66.29	Facility	26	$32.77	$39.57	$66.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $107.50 / $217.47	Professional		$52.52	$107.50	$217.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $42.59 / $66.29	Professional	26	$32.77	$42.59	$66.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $74.73 / $151.18	Professional	TC	$16.03	$74.73	$151.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.09 / $42.43 / $42.43	Professional	26	$31.09	$42.43	$42.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $112.24 / $179.98	Professional		$66.97	$112.24	$179.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.43 / $63.11 / $81.06	Professional	26	$33.43	$63.11	$81.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.79 / $60.56 / $114.24	Professional	TC	$10.79	$60.56	$114.24
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 $55.90 / $114.46 / $189.38	Professional		$55.90	$114.46	$189.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $44.43 / $85.20	Professional	26	$34.33	$44.43	$85.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.68 / $74.06 / $130.13	Professional	TC	$11.68	$74.06	$130.13