Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.51 / $510.51 / $510.51	Facility		$510.51	$510.51	$510.51
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 $7.63 / $8.94 / $11.07	Professional	26	$7.63	$8.94	$11.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.63 / $27.31	Professional	TC	$18.82	$21.63	$27.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $427.98 / $652.61	Facility		$160.58	$427.98	$652.61
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 / $443.71 / $486.72	Facility	TC	$110.75	$443.71	$486.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $47.93 / $137.40	Professional		$40.65	$47.93	$137.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $11.31 / $33.72	Professional	26	$11.31	$11.31	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.05 / $29.05 / $34.24	Professional	TC	$29.05	$29.05	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $478.65	Facility		$217.97	$217.97	$478.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $46.64 / $137.40	Professional		$39.15	$46.64	$137.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $11.63 / $33.72	Professional	26	$10.97	$11.63	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $29.92 / $51.55	Professional	TC	$27.17	$29.92	$51.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $478.65	Facility		$217.97	$217.97	$478.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $43.56 / $137.40	Professional		$36.97	$43.56	$137.40
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $11.63 / $33.72	Professional	26	$11.09	$11.63	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.67 / $28.80 / $51.55	Professional	TC	$25.67	$28.80	$51.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $44.32 / $140.00	Professional		$31.76	$44.32	$140.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.94 / $35.86	Professional	26	$8.61	$11.94	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.76 / $110.29	Professional	TC	$21.94	$29.76	$110.29