Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $457.09 / $645.65	Facility	26	$354.81	$457.09	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,981.07	Professional		$1,479.11	$1,905.46	$3,981.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $512.86 / $1,288.25	Professional	26	$346.74	$512.86	$1,288.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,479.11 / $2,454.71	Professional	TC	$1,122.02	$1,479.11	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $2,454.71	Professional		$1,412.54	$1,513.56	$2,454.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $407.38 / $602.56	Professional	26	$323.59	$407.38	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,570.40	Professional		$1,737.80	$1,949.84	$2,570.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $501.19 / $691.83	Professional	26	$426.58	$501.19	$691.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.26 / $1,513.56 / $1,995.26	Professional	TC	$1,202.26	$1,513.56	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,890.45	Professional		$1,778.28	$2,187.76	$3,890.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $562.34 / $812.83	Professional	26	$416.87	$562.34	$812.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,258.93 / $1,737.80 / $3,162.28	Professional	TC	$1,258.93	$1,737.80	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	26	$776.25	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,715.35	Professional		$1,737.80	$2,137.96	$3,715.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $478.63 / $724.44	Professional	26	$371.54	$478.63	$724.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,318.26 / $1,659.59 / $2,818.38	Professional	TC	$1,318.26	$1,659.59	$2,818.38