Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $469.07 / $501.42 / $930.97	Facility	26	$469.07	$501.42	$930.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.45 / $1,889.42 / $2,523.92	Professional		$1,749.45	$1,889.42	$2,523.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $415.80 / $510.16	Professional	26	$347.37	$415.80	$510.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,341.96 / $1,508.52 / $2,013.76	Professional	TC	$1,341.96	$1,508.52	$2,013.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,315.86 / $1,315.86 / $1,973.80	Professional		$1,315.86	$1,315.86	$1,973.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $314.20 / $490.94 / $666.06	Professional	26	$314.20	$490.94	$666.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $1,031.72 / $1,031.72 / $1,031.72	Professional	TC	$1,031.72	$1,031.72	$1,031.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,259.86 / $2,259.86 / $2,259.86	Professional		$2,259.86	$2,259.86	$2,259.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,634.97 / $2,393.03 / $3,209.25	Professional		$1,634.97	$2,393.03	$3,209.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $355.42 / $512.33 / $708.01	Professional	26	$355.42	$512.33	$708.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,347.59 / $2,122.48 / $2,630.59	Professional	TC	$1,347.59	$2,122.48	$2,630.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $985.21 / $985.21 / $985.21	Facility	26	$985.21	$985.21	$985.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,881.57 / $2,502.48 / $13,450.23	Professional		$1,881.57	$2,502.48	$13,450.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $427.03 / $567.95 / $2,845.07	Professional	26	$427.03	$567.95	$2,845.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,414.44 / $1,966.91 / $9,015.64	Professional	TC	$1,414.44	$1,966.91	$9,015.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,790.63 / $2,144.12 / $3,551.13	Professional		$1,790.63	$2,144.12	$3,551.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $427.03 / $473.75 / $725.95	Professional	26	$427.03	$473.75	$725.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,305.64 / $1,745.44 / $2,863.64	Professional	TC	$1,305.64	$1,745.44	$2,863.64