Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $194.98	Professional		$75.86	$87.10	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.02 / $85.11	Professional	26	$33.11	$38.02	$85.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	50	$173.78	$173.78	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $123.03	Professional		$60.26	$109.65	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $40.74 / $67.61	Professional	26	$39.81	$40.74	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $117.49	Professional		$79.43	$89.13	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $69.18	Professional	26	$36.31	$46.77	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $158.49	Professional		$79.43	$102.33	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $74.13	Professional	26	$38.90	$47.86	$74.13
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 $69.18 / $87.10 / $138.04	Professional		$69.18	$87.10	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $66.07	Professional	26	$32.36	$40.74	$66.07