Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $154.88	Facility	26	$109.65	$120.23	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $239.88	Professional		$93.33	$151.36	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $53.70 / $93.33	Professional	TC	$33.88	$53.70	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $229.09	Professional		$165.96	$204.17	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $64.57 / $70.79	Professional	TC	$53.70	$64.57	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $288.40	Professional		$93.33	$162.18	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $54.95 / $97.72	Professional	TC	$30.90	$54.95	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $245.47	Professional		$109.65	$165.96	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $54.95 / $97.72	Professional	TC	$34.67	$54.95	$97.72