Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $549.54	Professional		$213.80	$309.03	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $380.19	Professional	26	$28.84	$44.67	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $467.74	Professional	TC	$186.21	$269.15	$467.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Professional	26	$20.42	$20.42	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $501.19	Professional		$100.00	$162.18	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $48.98 / $87.10	Professional	26	$19.50	$48.98	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $199.53 / $446.68	Professional	TC	$75.86	$199.53	$446.68
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 $154.88 / $316.23 / $562.34	Professional		$154.88	$316.23	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $97.72	Professional	26	$26.92	$45.71	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $269.15 / $478.63	Professional	TC	$117.49	$269.15	$478.63