Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $35.75 / $37.56	Professional		$30.73	$35.75	$37.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $11.36 / $11.61	Professional	26	$9.73	$11.36	$11.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $24.14 / $26.19	Professional	TC	$21.01	$24.14	$26.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $428.14 / $786.84	Facility		$186.01	$428.14	$786.84
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 Facility Modifier TC Low / Median / High Price $121.31 / $493.61 / $543.49	Facility	TC	$121.31	$493.61	$543.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $51.41 / $140.28	Professional		$43.61	$51.41	$140.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $14.05 / $40.86	Professional	26	$14.05	$14.05	$40.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.25 / $29.25 / $34.49	Professional	TC	$29.25	$29.25	$34.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $568.61	Facility		$268.14	$268.14	$568.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $48.13 / $140.28	Professional		$45.73	$48.13	$140.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $15.54 / $40.86	Professional	26	$14.05	$15.54	$40.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.19 / $33.18 / $53.02	Professional	TC	$30.19	$33.18	$53.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $568.61	Facility		$268.14	$268.14	$568.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $48.13 / $140.28	Professional		$43.20	$48.13	$140.28
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $15.54 / $40.86	Professional	26	$14.05	$15.54	$40.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $28.52 / $31.40 / $48.31	Professional	TC	$28.52	$31.40	$48.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $49.56 / $149.22	Professional		$32.65	$49.56	$149.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $14.48 / $43.47	Professional	26	$10.55	$14.48	$43.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $32.72 / $105.75	Professional	TC	$21.69	$32.72	$105.75