Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.35 / $606.58 / $904.14	Facility		$575.35	$606.58	$904.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $398.67 / $398.67 / $398.67	Facility	TC	$398.67	$398.67	$398.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.55 / $52.37	Professional		$36.65	$42.55	$52.37
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 $26.62 / $30.57 / $36.76	Professional	TC	$26.62	$30.57	$36.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.72 / $561.55 / $836.94	Facility		$218.72	$561.55	$836.94
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 $152.96 / $626.03 / $687.94	Facility	TC	$152.96	$626.03	$687.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $51.58 / $170.31	Professional		$43.76	$51.58	$170.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $13.70 / $45.18	Professional	26	$13.70	$13.70	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.37 / $30.37 / $36.04	Professional	TC	$30.37	$30.37	$36.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $613.80	Facility		$268.14	$268.14	$613.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $57.94 / $170.31	Professional		$48.04	$57.94	$170.31
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 $32.85 / $41.12 / $65.72	Professional	TC	$32.85	$41.12	$65.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $613.80	Facility		$268.14	$268.14	$613.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $57.94 / $170.31	Professional		$47.90	$57.94	$170.31
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 $32.35 / $36.72 / $60.47	Professional	TC	$32.35	$36.72	$60.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $56.64 / $181.17	Professional		$37.56	$56.64	$181.17
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 $26.39 / $39.79 / $133.11	Professional	TC	$26.39	$39.79	$133.11