Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $691.83	Facility		$302.00	$446.68	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $112.20	Professional		$21.88	$41.69	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $28.84	Professional	26	$7.08	$11.75	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $30.90 / $83.18	Professional	TC	$15.14	$30.90	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $416.87 / $524.81	Facility		$162.18	$416.87	$524.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $109.65 / $109.65 / $489.78	Facility	TC	$109.65	$109.65	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $138.04	Professional		$40.74	$47.86	$138.04
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 $29.51 / $29.51 / $34.67	Professional	TC	$29.51	$29.51	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $416.87	Facility		$218.78	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $100.00	Professional		$37.15	$43.65	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.02 / $26.30	Professional	26	$10.72	$12.02	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.20 / $74.13	Professional	TC	$26.30	$30.20	$74.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $138.04	Professional		$29.51	$29.51	$138.04
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $8.91 / $35.48	Professional	26	$8.91	$8.91	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	TC	$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $112.20	Professional		$31.62	$42.66	$112.20
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 $21.38 / $29.51 / $83.18	Professional	TC	$21.38	$29.51	$83.18