Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.49 / $502.45 / $930.97	Facility	26	$407.49	$502.45	$930.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.30 / $2,033.25 / $9,527.40	Professional		$1,497.30	$2,033.25	$9,527.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $446.72 / $1,442.90	Professional	26	$347.37	$446.72	$1,442.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,150.78 / $1,542.03 / $4,853.39	Professional	TC	$1,150.78	$1,542.03	$4,853.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,271.59 / $1,315.86 / $2,723.99	Professional		$1,271.59	$1,315.86	$2,723.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $323.41 / $472.29 / $635.54	Professional	26	$323.41	$472.29	$635.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,754.32 / $2,171.90 / $3,681.13	Professional		$1,754.32	$2,171.90	$3,681.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $411.78 / $506.56 / $801.76	Professional	26	$411.78	$506.56	$801.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,342.54 / $1,668.17 / $2,967.52	Professional	TC	$1,342.54	$1,668.17	$2,967.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.10 / $2,601.16 / $3,885.47	Professional		$1,623.10	$2,601.16	$3,885.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $395.94 / $577.12 / $900.50	Professional	26	$395.94	$577.12	$900.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,273.14 / $2,028.76 / $3,021.07	Professional	TC	$1,273.14	$2,028.76	$3,021.07
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 $1,716.02 / $2,403.01 / $13,450.23	Professional		$1,716.02	$2,403.01	$13,450.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $407.25 / $555.14 / $2,845.07	Professional	26	$407.25	$555.14	$2,845.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,289.02 / $1,824.12 / $9,015.64	Professional	TC	$1,289.02	$1,824.12	$9,015.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,132.59 / $3,132.59 / $3,132.59	Professional		$3,132.59	$3,132.59	$3,132.59
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $767.92 / $767.92 / $767.92	Professional	26	$767.92	$767.92	$767.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.82 / $2,211.36 / $3,898.40	Professional		$1,656.82	$2,211.36	$3,898.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $404.36 / $512.90 / $865.42	Professional	26	$404.36	$512.90	$865.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,289.02 / $1,758.64 / $3,032.98	Professional	TC	$1,289.02	$1,758.64	$3,032.98