Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $79.25 / $87.73	Facility	26	$43.65	$79.25	$87.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $167.97 / $259.99	Professional		$129.37	$167.97	$259.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.06 / $87.73	Professional	26	$43.65	$51.06	$87.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.71 / $117.26 / $172.26	Professional	TC	$85.71	$117.26	$172.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $105.64 / $105.64	Professional		$105.64	$105.64	$105.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.68 / $31.68 / $42.77	Professional	26	$31.68	$31.68	$42.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $237.00 / $237.00	Professional		$237.00	$237.00	$237.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $207.66 / $293.11	Professional		$130.78	$207.66	$293.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $66.13 / $108.65	Professional	26	$44.51	$66.13	$108.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.91 / $131.15 / $192.00	Professional	TC	$87.91	$131.15	$192.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $70.76	Professional		$32.34	$32.34	$70.76
United Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $162.72 / $379.65	Professional		$117.96	$162.72	$379.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.43 / $54.21 / $130.96	Professional	26	$39.43	$54.21	$130.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.25 / $104.66 / $252.45	Professional	TC	$78.25	$104.66	$252.45