Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.14 / $904.14 / $920.24	Facility		$904.14	$904.14	$920.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $28.26 / $35.22	Professional		$24.30	$28.26	$35.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.40 / $11.52	Professional	26	$7.95	$9.40	$11.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $18.77 / $23.70	Professional	TC	$16.35	$18.77	$23.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $346.23 / $648.46	Facility		$146.84	$346.23	$648.46
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $96.00 / $385.24 / $423.07	Facility	TC	$96.00	$385.24	$423.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $41.24 / $118.83	Professional		$34.97	$41.24	$118.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $11.21 / $35.15	Professional	26	$11.21	$11.21	$35.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $24.26 / $28.60	Professional	TC	$24.26	$24.26	$28.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $470.04	Facility		$268.14	$268.14	$470.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $43.69 / $118.83	Professional		$35.11	$43.69	$118.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $12.08 / $35.15	Professional	26	$10.97	$12.08	$35.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $31.36 / $44.26	Professional	TC	$23.15	$31.36	$44.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $470.04	Facility		$268.14	$268.14	$470.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $43.69 / $118.83	Professional		$35.00	$43.69	$118.83
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $12.08 / $35.15	Professional	26	$11.31	$12.08	$35.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $31.36 / $44.26	Professional	TC	$21.87	$31.36	$44.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $38.06 / $107.81	Professional		$28.87	$38.06	$107.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.45 / $37.40	Professional	26	$9.02	$12.45	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $26.53 / $89.01	Professional	TC	$18.86	$26.53	$89.01