Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $671.96 / $805.45	Facility		$19.47	$671.96	$805.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $32.19 / $40.17	Professional		$27.71	$32.19	$40.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $10.11 / $12.41	Professional	26	$8.56	$10.11	$12.41
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 $165.87 / $477.67 / $764.19	Facility		$165.87	$477.67	$764.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $55.11 / $55.11 / $55.11	Facility	26	$55.11	$55.11	$55.11
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 $43.27 / $51.01 / $147.43	Professional		$43.27	$51.01	$147.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $13.76 / $38.03	Professional	26	$11.68	$13.76	$38.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $29.18 / $34.40	Professional	TC	$29.18	$29.18	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $551.29	Facility		$217.97	$217.97	$551.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $50.57 / $147.43	Professional		$39.54	$50.57	$147.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $13.06 / $38.03	Professional	26	$11.90	$13.06	$38.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.44 / $29.78 / $53.17	Professional	TC	$26.44	$29.78	$53.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $551.29	Facility		$217.97	$217.97	$551.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $44.70 / $147.43	Professional		$37.94	$44.70	$147.43
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $13.06 / $38.03	Professional	26	$12.27	$13.06	$38.03
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.67 / $28.44 / $53.17	Professional	TC	$25.67	$28.44	$53.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $43.52 / $125.51	Professional		$34.14	$43.52	$125.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $13.47 / $40.46	Professional	26	$9.34	$13.47	$40.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $30.69 / $116.37	Professional	TC	$22.63	$30.69	$116.37