Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.07 / $22.04 / $48.40	Facility	26	$20.07	$22.04	$48.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $221.90 / $424.00	Professional		$191.27	$221.90	$424.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $22.04 / $48.40	Professional	26	$20.60	$22.04	$48.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.05 / $201.28 / $375.61	Professional	TC	$171.05	$201.28	$375.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $53.40 / $53.40	Professional	26	$53.40	$53.40	$53.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $236.00 / $236.00	Professional		$236.00	$236.00	$236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.17 / $376.63 / $512.82	Professional		$219.17	$376.63	$512.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $38.76 / $55.13	Professional	26	$23.75	$38.76	$55.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.42 / $338.04 / $456.01	Professional	TC	$195.42	$338.04	$456.01
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 $180.40 / $256.42 / $534.21	Professional		$180.40	$256.42	$534.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $24.90 / $59.18	Professional	26	$19.39	$24.90	$59.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.87 / $228.01 / $475.03	Professional	TC	$167.87	$228.01	$475.03