Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.62 / $550.23 / $550.23	Facility	26	$265.62	$550.23	$550.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.39 / $1,133.92 / $4,933.00	Professional		$1,012.39	$1,133.92	$4,933.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.42 / $341.57 / $1,429.00	Professional	26	$289.42	$341.57	$1,429.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $696.52 / $813.85 / $1,567.10	Professional	TC	$696.52	$813.85	$1,567.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $845.23 / $845.23 / $986.10	Professional		$845.23	$845.23	$986.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $243.95 / $379.47 / $558.63	Professional	26	$243.95	$379.47	$558.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.88 / $1,155.89 / $1,387.06	Professional		$894.88	$1,155.89	$1,387.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $255.94 / $330.59 / $396.70	Professional	26	$255.94	$330.59	$396.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $638.94 / $825.30 / $990.36	Professional	TC	$638.94	$825.30	$990.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.81 / $1,264.34 / $1,869.38	Professional		$1,080.81	$1,264.34	$1,869.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $299.20 / $366.07 / $530.20	Professional	26	$299.20	$366.07	$530.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $763.01 / $883.48 / $1,369.01	Professional	TC	$763.01	$883.48	$1,369.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,118.00 / $2,118.00 / $2,654.96	Facility	26	$2,118.00	$2,118.00	$2,654.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.52 / $1,210.95 / $2,449.69	Professional		$1,003.52	$1,210.95	$2,449.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $282.48 / $356.10 / $737.26	Professional	26	$282.48	$356.10	$737.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $713.79 / $852.14 / $1,760.13	Professional	TC	$713.79	$852.14	$1,760.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.06 / $1,155.57 / $1,863.00	Professional		$1,000.06	$1,155.57	$1,863.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $282.48 / $339.12 / $565.20	Professional	26	$282.48	$339.12	$565.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $713.79 / $821.94 / $1,445.14	Professional	TC	$713.79	$821.94	$1,445.14