Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $912.01	Facility		$562.34	$891.25	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $154.88	Professional		$32.36	$51.29	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $38.02	Professional	26	$10.00	$15.49	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $114.82	Professional	TC	$25.12	$41.69	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $512.86 / $630.96	Facility		$218.78	$512.86	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $151.36 / $151.36 / $691.83	Facility	TC	$151.36	$151.36	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $169.82	Professional		$43.65	$43.65	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $44.67	Professional	26	$13.80	$13.80	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $30.20 / $36.31	Professional	TC	$30.20	$30.20	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $512.86 / $512.86	Facility		$269.15	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $123.03	Professional		$47.86	$57.54	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.49 / $34.67	Professional	26	$13.18	$15.49	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $40.74 / $91.20	Professional	TC	$33.11	$40.74	$91.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $169.82	Professional		$36.31	$36.31	$169.82
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $44.67	Professional	26	$11.75	$11.75	$44.67
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $24.55 / $24.55	Professional	TC	$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $138.04	Professional		$38.90	$53.70	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $36.31	Professional	26	$11.22	$14.45	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.31 / $102.33	Professional	TC	$26.30	$36.31	$102.33