Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $501.59 / $620.38	Facility		$19.73	$501.59	$620.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $364.50 / $373.50 / $377.33	Facility	TC	$364.50	$373.50	$377.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $32.54 / $33.92	Professional		$27.58	$32.54	$33.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $11.15 / $11.61	Professional	26	$9.66	$11.15	$11.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $20.94 / $23.19	Professional	TC	$17.92	$20.94	$23.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $350.54 / $578.25	Facility		$284.70	$350.54	$578.25
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $481.15 / $481.15 / $503.79	Facility	TC	$481.15	$481.15	$503.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $44.73 / $143.16	Professional		$37.94	$44.73	$143.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $13.27 / $43.74	Professional	26	$13.27	$13.27	$43.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $24.90 / $29.35	Professional	TC	$24.90	$24.90	$29.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $483.25	Facility		$217.97	$217.97	$483.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $49.11 / $143.16	Professional		$39.95	$49.11	$143.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.21 / $43.74	Professional	26	$14.45	$15.21	$43.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $28.69 / $49.39	Professional	TC	$25.50	$28.69	$49.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $483.25	Facility		$217.97	$217.97	$483.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $48.43 / $143.16	Professional		$39.95	$48.43	$143.16
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.04 / $43.74	Professional	26	$14.45	$15.04	$43.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $27.77 / $49.12	Professional	TC	$25.50	$27.77	$49.12
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $46.56 / $124.13	Professional		$33.20	$46.56	$124.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $16.05 / $46.53	Professional	26	$11.28	$16.05	$46.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $29.72 / $105.75	Professional	TC	$20.91	$29.72	$105.75