Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $575.33 / $1,245.72 / $1,660.82	Facility	26	$575.33	$1,245.72	$1,660.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,278.04 / $9,722.00	Professional		$1,889.42	$2,278.04	$9,722.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $487.73 / $1,965.00	Professional	26	$347.37	$487.73	$1,965.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,458.67 / $1,783.00 / $3,978.39	Professional	TC	$1,458.67	$1,783.00	$3,978.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,141.78 / $1,932.25 / $2,020.08	Professional		$1,141.78	$1,932.25	$2,020.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $345.08 / $702.35 / $702.35	Professional	26	$345.08	$702.35	$702.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,877.04 / $1,925.17 / $2,558.17	Professional		$1,877.04	$1,925.17	$2,558.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $440.78 / $440.78 / $550.98	Professional	26	$440.78	$440.78	$550.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,447.27 / $1,484.38 / $2,959.49	Professional	TC	$1,447.27	$1,484.38	$2,959.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.44 / $2,426.44 / $3,883.13	Professional		$1,530.44	$2,426.44	$3,883.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $353.91 / $517.94 / $816.75	Professional	26	$353.91	$517.94	$816.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,176.53 / $1,878.28 / $3,031.29	Professional	TC	$1,176.53	$1,878.28	$3,031.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $985.21 / $1,924.04 / $1,924.04	Facility	26	$985.21	$1,924.04	$1,924.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,096.09 / $2,506.34 / $13,450.23	Professional		$2,096.09	$2,506.34	$13,450.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $443.63 / $526.21 / $2,845.07	Professional	26	$443.63	$526.21	$2,845.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,726.21 / $2,031.22 / $9,015.64	Professional	TC	$1,726.21	$2,031.22	$9,015.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,096.09 / $2,487.09 / $3,809.51	Professional		$2,096.09	$2,487.09	$3,809.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $441.32 / $517.15 / $722.15	Professional	26	$441.32	$517.15	$722.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,726.21 / $2,031.22 / $3,087.36	Professional	TC	$1,726.21	$2,031.22	$3,087.36