Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $341.45 / $345.47 / $512.17	Facility	26	$341.45	$345.47	$512.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,216.34 / $2,741.86	Professional		$1,012.82	$1,216.34	$2,741.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $271.50 / $359.23 / $837.21	Professional	26	$271.50	$359.23	$837.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $728.19 / $871.60 / $1,882.20	Professional	TC	$728.19	$871.60	$1,882.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $359.91 / $359.91 / $359.91	Professional	26	$359.91	$359.91	$359.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.18 / $1,577.18 / $2,738.00	Professional		$1,086.18	$1,577.18	$2,738.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $319.76 / $391.86 / $590.37	Professional	26	$319.76	$391.86	$590.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $716.44 / $889.40 / $1,364.07	Professional	TC	$716.44	$889.40	$1,364.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.85 / $1,567.91 / $2,335.23	Professional		$1,014.85	$1,567.91	$2,335.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $291.14 / $467.68 / $661.68	Professional	26	$291.14	$467.68	$661.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $723.71 / $1,100.23 / $1,706.19	Professional	TC	$723.71	$1,100.23	$1,706.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,118.00 / $2,654.96 / $2,654.96	Facility	26	$2,118.00	$2,654.96	$2,654.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,097.48 / $1,774.95 / $6,888.39	Professional		$1,097.48	$1,774.95	$6,888.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $308.93 / $540.10 / $1,791.90	Professional	26	$308.93	$540.10	$1,791.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $788.55 / $1,251.91 / $5,096.49	Professional	TC	$788.55	$1,251.91	$5,096.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.48 / $1,613.74 / $2,758.55	Professional		$1,097.48	$1,613.74	$2,758.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $308.93 / $515.12 / $768.97	Professional	26	$308.93	$515.12	$768.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $779.82 / $1,149.53 / $1,863.00	Professional	TC	$779.82	$1,149.53	$1,863.00