Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $691.83 / $1,318.26	Facility	26	$467.74	$691.83	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,691.53	Professional		$1,548.82	$1,995.26	$2,691.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $446.68 / $676.08	Professional	26	$346.74	$446.68	$676.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.26 / $1,548.82 / $2,137.96	Professional	TC	$1,202.26	$1,548.82	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,995.26	Professional		$1,380.38	$1,380.38	$1,995.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $446.68 / $537.03	Professional	26	$316.23	$446.68	$537.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional	TC	$1,148.15	$1,148.15	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $2,238.72	Professional		$562.34	$562.34	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,311.31	Professional		$1,621.81	$2,187.76	$3,311.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $478.63 / $741.31	Professional	26	$354.81	$478.63	$741.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,348.96 / $1,995.26 / $2,630.27	Professional	TC	$1,348.96	$1,995.26	$2,630.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	26	$977.24	$977.24	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $13,489.63	Professional		$1,862.09	$2,570.40	$13,489.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $537.03 / $2,818.38	Professional	26	$426.58	$537.03	$2,818.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,412.54 / $1,949.84 / $8,912.51	Professional	TC	$1,412.54	$1,949.84	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,235.94	Professional		$1,737.80	$2,137.96	$3,235.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $478.63 / $691.83	Professional	26	$416.87	$478.63	$691.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,288.25 / $1,698.24 / $2,511.89	Professional	TC	$1,288.25	$1,698.24	$2,511.89