Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $588.84 / $2,398.83	Facility	26	$338.84	$588.84	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,398.83	Professional		$1,380.38	$1,778.28	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $416.87 / $1,995.26	Professional	26	$281.84	$416.87	$1,995.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,047.13 / $1,380.38 / $1,949.84	Professional	TC	$1,047.13	$1,380.38	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,754.23	Professional		$1,380.38	$1,513.56	$2,754.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $467.74 / $537.03	Professional	26	$331.13	$467.74	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,737.80 / $2,398.83	Professional		$407.38	$1,737.80	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,884.03	Professional		$1,584.89	$1,819.70	$2,884.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $363.08 / $398.11 / $660.69	Professional	26	$363.08	$398.11	$660.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,288.25 / $1,412.54 / $2,238.72	Professional	TC	$1,288.25	$1,412.54	$2,238.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $977.24 / $1,905.46 / $1,905.46	Facility	26	$977.24	$1,905.46	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $13,489.63	Professional		$1,621.81	$2,187.76	$13,489.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $478.63 / $2,818.38	Professional	26	$354.81	$478.63	$2,818.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.26 / $1,698.24 / $8,912.51	Professional	TC	$1,202.26	$1,698.24	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,951.21	Professional		$1,513.56	$2,041.74	$2,951.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $436.52 / $645.65	Professional	26	$346.74	$436.52	$645.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.26 / $1,659.59 / $2,290.87	Professional	TC	$1,202.26	$1,659.59	$2,290.87