Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.85 / $415.85 / $494.70	Facility		$415.85	$415.85	$494.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $40.77 / $50.90	Professional		$35.10	$40.77	$50.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $14.55	Professional	26	$10.02	$11.82	$14.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $28.78 / $36.33	Professional	TC	$25.05	$28.78	$36.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $463.62 / $633.95	Facility		$208.16	$463.62	$633.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $65.76 / $65.76 / $65.76	Facility	26	$65.76	$65.76	$65.76
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $142.40 / $589.91 / $648.36	Facility	TC	$142.40	$589.91	$648.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $54.44 / $168.88	Professional		$46.18	$54.44	$168.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $13.62 / $45.18	Professional	26	$13.62	$13.62	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.56 / $32.56 / $38.38	Professional	TC	$32.56	$32.56	$38.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $456.12	Facility		$217.97	$217.97	$456.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $57.94 / $168.88	Professional		$45.58	$57.94	$168.88
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 $30.38 / $38.29 / $61.19	Professional	TC	$30.38	$38.29	$61.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $456.12	Facility		$217.97	$217.97	$456.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $56.09 / $168.88	Professional		$45.44	$56.09	$168.88
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 $29.88 / $34.38 / $60.47	Professional	TC	$29.88	$34.38	$60.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $53.37 / $144.56	Professional		$38.61	$53.37	$144.56
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 $25.72 / $37.07 / $131.58	Professional	TC	$25.72	$37.07	$131.58