Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $870.96	Professional		$309.03	$371.54	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $245.47 / $724.44	Professional	26	$114.82	$245.47	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $257.04 / $501.19	Professional	TC	$204.17	$257.04	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $138.04	Professional	26	$61.66	$77.62	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $426.58 / $630.96	Professional		$154.88	$426.58	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $707.95	Professional		$147.91	$218.78	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $74.13 / $229.09	Professional	26	$66.07	$74.13	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $478.63	Professional	TC	$83.18	$151.36	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $912.01	Professional		$398.11	$575.44	$912.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $223.87 / $741.31	Professional	26	$144.54	$223.87	$741.31
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $346.74 / $676.08	Professional	TC	$51.29	$346.74	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $630.96	Professional		$269.15	$371.54	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $147.91 / $234.42	Professional	26	$93.33	$147.91	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $229.09 / $416.87	Professional	TC	$173.78	$229.09	$416.87