Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $365.11 / $550.05 / $2,132.51	Facility	26	$365.11	$550.05	$2,132.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.49 / $1,723.74 / $2,326.09	Professional		$1,198.49	$1,723.74	$2,326.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $313.73 / $387.66 / $531.38	Professional	26	$313.73	$387.66	$531.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $926.59 / $1,331.05 / $1,745.82	Professional	TC	$926.59	$1,331.05	$1,745.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,279.56 / $2,279.56 / $2,723.99	Professional		$2,279.56	$2,279.56	$2,723.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $314.89 / $464.47 / $667.76	Professional	26	$314.89	$464.47	$667.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.82 / $1,741.60 / $2,391.46	Professional		$442.82	$1,741.60	$2,391.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.13 / $1,759.50 / $2,639.25	Professional		$1,563.13	$1,759.50	$2,639.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $353.66 / $388.99 / $580.58	Professional	26	$353.66	$388.99	$580.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,172.90 / $1,406.73 / $2,109.41	Professional	TC	$1,172.90	$1,406.73	$2,109.41
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 $1,695.80 / $2,241.58 / $13,450.23	Professional		$1,695.80	$2,241.58	$13,450.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $367.80 / $475.12 / $2,845.07	Professional	26	$367.80	$475.12	$2,845.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,258.69 / $1,743.96 / $9,015.64	Professional	TC	$1,258.69	$1,743.96	$9,015.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,559.36 / $2,144.12 / $2,923.80	Professional		$1,559.36	$2,144.12	$2,923.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $356.58 / $456.07 / $649.07	Professional	26	$356.58	$456.07	$649.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,213.19 / $1,677.88 / $2,304.31	Professional	TC	$1,213.19	$1,677.88	$2,304.31