Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $512.86 / $562.34	Facility		$446.68	$512.86	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $100.00	Professional		$16.60	$32.36	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.30 / $33.11	Professional	26	$7.08	$12.30	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.20 / $81.28	Professional	TC	$15.85	$30.20	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $489.78	Facility		$162.18	$398.11	$489.78
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 / $40.74 / $138.04	Professional		$40.74	$40.74	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $33.88	Professional	26	$11.22	$11.22	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $28.84 / $33.88	Professional	TC	$28.84	$28.84	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $407.38	Facility		$218.78	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $97.72	Professional		$37.15	$43.65	$97.72
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 $25.70 / $30.20 / $74.13	Professional	TC	$25.70	$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 / $33.88	Professional	26	$8.91	$8.91	$33.88
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 / $109.65	Professional		$31.62	$42.66	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.22 / $26.30	Professional	26	$8.71	$11.22	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $83.18	Professional	TC	$21.88	$29.51	$83.18