Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $109.65 / $234.42	Facility	26	$87.10	$109.65	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $831.76	Professional		$363.08	$446.68	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $331.13	Professional	26	$79.43	$104.71	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $478.63	Professional	TC	$263.03	$338.84	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $467.74	Professional		$389.05	$426.58	$467.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $141.25	Professional	26	$74.13	$93.33	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $446.68 / $575.44	Professional		$169.82	$446.68	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $162.18	Professional	26	$85.11	$107.15	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $363.08 / $457.09	Professional	TC	$63.10	$363.08	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $776.25	Professional		$251.19	$446.68	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $165.96	Professional	26	$89.13	$112.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $371.54 / $616.60	Professional	TC	$169.82	$371.54	$616.60
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 $275.42 / $407.38 / $691.83	Professional		$275.42	$407.38	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $147.91	Professional	26	$75.86	$93.33	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $323.59 / $537.03	Professional	TC	$194.98	$323.59	$537.03