Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.78 / $65.12 / $109.63	Facility	26	$59.78	$65.12	$109.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $449.78 / $794.15	Professional		$338.67	$449.78	$794.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $59.78 / $109.63	Professional	26	$51.32	$59.78	$109.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $390.00 / $684.53	Professional	TC	$287.33	$390.00	$684.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.36 / $351.36 / $351.36	Professional		$351.36	$351.36	$351.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.25 / $73.67 / $127.03	Professional	26	$47.25	$73.67	$127.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $481.00 / $481.00	Professional		$481.00	$481.00	$481.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $443.95 / $697.61	Professional		$263.08	$443.95	$697.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $78.37 / $105.25	Professional	26	$52.96	$78.37	$105.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.84 / $374.44 / $592.36	Professional	TC	$192.84	$374.44	$592.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $340.02	Professional		$32.34	$32.34	$340.02
United Facility/Professional Professional Modifier Low / Median / High Price $251.91 / $410.48 / $756.24	Professional		$251.91	$410.48	$756.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.70 / $67.29 / $103.29	Professional	26	$52.70	$67.29	$103.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.98 / $343.64 / $645.48	Professional	TC	$178.98	$343.64	$645.48