Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $501.59	Facility		$18.23	$18.23	$501.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $33.96 / $37.29	Professional		$29.19	$33.96	$37.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $11.25	Professional	26	$9.41	$10.97	$11.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $22.71 / $26.22	Professional	TC	$19.76	$22.71	$26.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.80 / $399.18 / $662.37	Facility		$181.80	$399.18	$662.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.72 / $64.72 / $64.72	Facility	26	$64.72	$64.72	$64.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $54.62 / $157.44	Professional		$46.33	$54.62	$157.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $14.06 / $45.18	Professional	26	$14.06	$14.06	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.36 / $31.36 / $36.97	Professional	TC	$31.36	$31.36	$36.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $482.31	Facility		$217.97	$217.97	$482.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $53.52 / $157.44	Professional		$44.23	$53.52	$157.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $15.54 / $45.18	Professional	26	$14.23	$15.54	$45.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.69 / $31.89 / $54.80	Professional	TC	$28.69	$31.89	$54.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $482.31	Facility		$217.97	$217.97	$482.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $49.00 / $157.44	Professional		$41.77	$49.00	$157.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $15.54 / $45.18	Professional	26	$14.68	$15.54	$45.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.09 / $30.38 / $54.80	Professional	TC	$27.09	$30.38	$54.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $50.41 / $167.49	Professional		$34.29	$50.41	$167.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $15.99 / $48.06	Professional	26	$11.17	$15.99	$48.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $31.83 / $119.43	Professional	TC	$23.31	$31.83	$119.43