Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $501.19 / $776.25	Facility		$58.88	$501.19	$776.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	TC	$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $46.77 / $114.82	Professional		$19.05	$46.77	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $19.05 / $41.69	Professional	26	$8.51	$19.05	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $141.25 / $223.87	Professional	50	$60.26	$141.25	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $51.29 / $87.10	Professional	TC	$20.89	$51.29	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $575.44	Facility		$165.96	$457.09	$575.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
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 $43.65 / $43.65 / $147.91	Professional		$43.65	$43.65	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $38.02	Professional	26	$11.75	$11.75	$38.02
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 / $467.74 / $467.74	Facility		$218.78	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $107.15	Professional		$38.02	$44.67	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.18 / $29.51	Professional	26	$11.22	$13.18	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $31.62 / $79.43	Professional	TC	$25.70	$31.62	$79.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $147.91	Professional		$31.62	$31.62	$147.91
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.00 / $38.02	Professional	26	$10.00	$10.00	$38.02
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Professional	TC	$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $120.23	Professional		$33.88	$42.66	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $30.90	Professional	26	$9.33	$12.30	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $89.13	Professional	TC	$22.39	$29.51	$89.13