Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $90.82 / $152.87	Facility	26	$83.00	$90.82	$152.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $151.59 / $255.17	Professional		$132.52	$151.59	$255.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $83.00 / $152.87	Professional	26	$72.04	$83.00	$152.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $66.84 / $102.30	Professional	TC	$57.21	$66.84	$102.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $135.35 / $267.79	Professional		$108.28	$135.35	$267.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.73 / $177.45 / $177.45	Professional	26	$94.73	$177.45	$177.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $196.14 / $260.26	Professional		$124.27	$196.14	$260.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.69 / $113.97 / $147.01	Professional	26	$73.69	$113.97	$147.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $82.17 / $113.25	Professional	TC	$50.59	$82.17	$113.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.79	Professional		$32.34	$32.34	$104.79
United Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $166.64 / $245.39	Professional		$132.80	$166.64	$245.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.16 / $95.68 / $142.82	Professional	26	$73.16	$95.68	$142.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.83 / $70.95 / $105.77	Professional	TC	$55.83	$70.95	$105.77