Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $501.19 / $616.60	Facility		$85.11	$501.19	$616.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $363.08 / $371.54 / $380.19	Facility	TC	$363.08	$371.54	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $109.65	Professional		$23.99	$45.71	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.45 / $40.74	Professional	26	$8.13	$14.45	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $46.77 / $79.43	Professional	TC	$19.05	$46.77	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $489.78	Facility		$281.84	$346.74	$489.78
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $478.63 / $478.63 / $501.19	Facility	TC	$478.63	$478.63	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $144.54	Professional		$38.02	$44.67	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.49 / $43.65	Professional	26	$13.18	$15.49	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $25.12 / $29.51	Professional	TC	$25.12	$25.12	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $407.38	Facility		$218.78	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $102.33	Professional		$39.81	$48.98	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $15.14 / $32.36	Professional	26	$14.13	$15.14	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $28.84 / $67.61	Professional	TC	$25.70	$28.84	$67.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $144.54	Professional		$30.90	$30.90	$144.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $43.65	Professional	26	$10.96	$10.96	$43.65
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	TC	$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $114.82	Professional		$33.11	$45.71	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.49 / $35.48	Professional	26	$11.22	$15.49	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $81.28	Professional	TC	$20.89	$28.18	$81.28