Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.97 / $432.14 / $510.51	Facility		$409.97	$432.14	$510.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.23 / $251.23 / $251.23	Facility	TC	$251.23	$251.23	$251.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.06 / $25.79	Professional		$17.78	$21.06	$25.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.33 / $9.71	Professional	26	$8.08	$9.33	$9.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $11.35 / $14.06	Professional	TC	$9.69	$11.35	$14.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.09 / $251.15 / $558.10	Facility		$232.09	$251.15	$558.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $32.20 / $110.24	Professional		$27.32	$32.20	$110.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $11.10 / $36.59	Professional	26	$11.10	$11.10	$36.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $17.57 / $21.06	Professional	TC	$17.57	$17.57	$21.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $465.94	Facility		$217.97	$217.97	$465.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $34.72 / $110.24	Professional		$25.88	$34.72	$110.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $12.74 / $36.59	Professional	26	$12.08	$12.74	$36.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $19.98 / $36.96	Professional	TC	$13.80	$19.98	$36.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $465.94	Facility		$217.97	$217.97	$465.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $34.03 / $110.24	Professional		$25.88	$34.03	$110.24
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $12.57 / $36.59	Professional	26	$12.08	$12.57	$36.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $15.07 / $36.96	Professional	TC	$13.80	$15.07	$36.96
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $33.24 / $117.27	Professional		$24.68	$33.24	$117.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $13.43 / $38.93	Professional	26	$9.38	$13.43	$38.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.19 / $23.21 / $78.34	Professional	TC	$15.19	$23.21	$78.34