Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $501.59 / $544.80	Facility		$306.00	$501.59	$544.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $306.00 / $306.00 / $306.00	Facility	TC	$306.00	$306.00	$306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $29.67 / $37.09	Professional		$25.57	$29.67	$37.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.03 / $9.77	Professional	26	$6.74	$8.03	$9.77
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 $152.16 / $427.02 / $592.83	Facility		$152.16	$427.02	$592.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.49 / $43.49 / $43.49	Facility	26	$43.49	$43.49	$43.49
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $108.67 / $443.71 / $486.72	Facility	TC	$108.67	$443.71	$486.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $43.29 / $124.54	Professional		$36.72	$43.29	$124.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $10.29 / $33.72	Professional	26	$10.29	$10.29	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $26.45 / $31.17	Professional	TC	$26.45	$26.45	$31.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $417.21	Facility		$217.97	$217.97	$417.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.72 / $124.54	Professional		$36.11	$42.72	$124.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.58 / $33.72	Professional	26	$9.86	$11.58	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $29.21 / $46.67	Professional	TC	$25.66	$29.21	$46.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $417.21	Facility		$217.97	$217.97	$417.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $40.99 / $124.54	Professional		$34.11	$40.99	$124.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.58 / $33.72	Professional	26	$9.86	$11.58	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.24 / $26.43 / $45.07	Professional	TC	$24.24	$26.43	$45.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $40.25 / $132.47	Professional		$27.43	$40.25	$132.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.94 / $31.99	Professional	26	$8.66	$11.94	$31.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $27.81 / $96.61	Professional	TC	$19.20	$27.81	$96.61