Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $389.05	Professional		$213.80	$251.19	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $134.90	Professional	26	$30.90	$45.71	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $691.83	Professional	TC	$169.82	$218.78	$691.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $457.09	Professional		$245.47	$263.03	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $41.69 / $112.20	Professional	26	$38.90	$41.69	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $223.87 / $346.74	Professional	TC	$190.55	$223.87	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $316.23	Professional		$95.50	$151.36	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $23.44 / $66.07	Professional	26	$21.38	$23.44	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $128.82 / $269.15	Professional	TC	$74.13	$128.82	$269.15
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 $114.82 / $229.09 / $501.19	Professional		$114.82	$229.09	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $40.74 / $112.20	Professional	26	$25.12	$40.74	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $181.97 / $426.58	Professional	TC	$87.10	$181.97	$426.58