Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $30.75 / $38.38	Professional		$26.46	$30.75	$38.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.63 / $10.62	Professional	26	$7.33	$8.63	$10.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $21.99 / $27.76	Professional	TC	$19.14	$21.99	$27.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $428.62 / $705.31	Facility		$160.58	$428.62	$705.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $49.85 / $49.85	Facility	26	$49.85	$49.85	$49.85
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $110.75 / $450.63 / $495.34	Facility	TC	$110.75	$450.63	$495.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $47.92 / $138.84	Professional		$40.65	$47.92	$138.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $11.31 / $35.15	Professional	26	$11.31	$11.31	$35.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $29.66 / $34.97	Professional	TC	$29.66	$29.66	$34.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $496.38	Facility		$217.97	$217.97	$496.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $47.62 / $138.84	Professional		$38.56	$47.62	$138.84
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 $26.44 / $30.35 / $50.74	Professional	TC	$26.44	$30.35	$50.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $496.38	Facility		$217.97	$217.97	$496.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $43.84 / $138.84	Professional		$38.56	$43.84	$138.84
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 $26.14 / $29.30 / $50.74	Professional	TC	$26.14	$29.30	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $42.98 / $147.69	Professional		$30.17	$42.98	$147.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $12.45 / $37.40	Professional	26	$8.60	$12.45	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $31.87 / $85.39	Professional	TC	$22.74	$31.87	$85.39