Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $180.15 / $304.06	Professional		$127.72	$180.15	$304.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $42.32 / $73.48	Professional	26	$29.23	$42.32	$73.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.49 / $137.84 / $230.57	Professional	TC	$98.49	$137.84	$230.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.55 / $467.55 / $467.55	Professional		$467.55	$467.55	$467.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $24.17 / $86.33	Professional	26	$19.39	$24.17	$86.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $163.31 / $163.31	Professional		$163.31	$163.31	$163.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $94.43 / $247.80	Professional		$57.28	$94.43	$247.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $41.99 / $76.34	Professional	26	$17.82	$41.99	$76.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.72 / $97.06 / $209.63	Professional	TC	$36.72	$97.06	$209.63
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 $92.29 / $158.66 / $298.18	Professional		$92.29	$158.66	$298.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $44.07 / $95.43	Professional	26	$23.36	$44.07	$95.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.55 / $135.34 / $230.08	Professional	TC	$66.55	$135.34	$230.08