Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $37.69 / $40.93	Professional		$33.50	$37.69	$40.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $12.04 / $12.68	Professional	26	$9.52	$12.04	$12.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $26.28 / $28.52	Professional	TC	$22.87	$26.28	$28.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $463.62 / $660.82	Facility		$200.77	$463.62	$660.82
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $538.32 / $538.32 / $591.62	Facility	TC	$538.32	$538.32	$591.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $55.41 / $153.13	Professional		$47.00	$55.41	$153.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.90 / $13.90 / $36.59	Professional	26	$13.90	$13.90	$36.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $33.86 / $33.86	Professional	TC	$33.86	$33.86	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $484.69	Facility		$268.14	$268.14	$484.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $52.53 / $153.13	Professional		$48.77	$52.53	$153.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $17.39 / $36.59	Professional	26	$12.57	$17.39	$36.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $35.45 / $57.23	Professional	TC	$31.85	$35.45	$57.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $484.69	Facility		$268.14	$268.14	$484.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $52.53 / $153.13	Professional		$46.07	$52.53	$153.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $17.39 / $36.59	Professional	26	$12.57	$17.39	$36.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $30.42 / $32.86 / $57.23	Professional	TC	$30.42	$32.86	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $52.86 / $140.00	Professional		$36.09	$52.86	$140.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $16.05 / $38.93	Professional	26	$10.55	$16.05	$38.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.34 / $34.90 / $123.97	Professional	TC	$24.34	$34.90	$123.97