Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $912.01	Facility		$457.09	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $104.71	Professional		$23.99	$34.67	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $33.88	Professional	26	$7.76	$10.96	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $72.44	Professional	TC	$16.98	$23.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $346.74 / $489.78	Facility		$147.91	$346.74	$489.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $95.50 / $95.50 / $426.58	Facility	TC	$95.50	$95.50	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $117.49	Professional		$34.67	$34.67	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $35.48	Professional	26	$11.22	$11.22	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $23.99 / $28.84	Professional	TC	$23.99	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $398.11	Facility		$269.15	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $93.33	Professional		$33.11	$43.65	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.02 / $27.54	Professional	26	$10.72	$12.02	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $64.57	Professional	TC	$21.88	$31.62	$64.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Professional		$29.51	$29.51	$117.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.33 / $35.48	Professional	26	$9.33	$9.33	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	TC	$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $95.50	Professional		$28.84	$38.02	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $28.84	Professional	26	$8.51	$11.48	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $67.61	Professional	TC	$19.05	$25.70	$67.61