Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $724.44	Facility		$363.08	$512.86	$724.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	TC	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $125.89	Professional		$17.78	$35.48	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $17.78 / $36.31	Professional	26	$7.08	$17.78	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $56.23 / $239.88	Professional	50	$52.48	$56.23	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $46.77 / $95.50	Professional	TC	$20.42	$46.77	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $436.52 / $562.34	Facility		$190.55	$436.52	$562.34
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 $141.25 / $141.25 / $602.56	Facility	TC	$141.25	$141.25	$602.56
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 / $35.48	Professional	26	$11.22	$11.22	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $30.20 / $35.48	Professional	TC	$30.20	$30.20	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $457.09	Facility		$218.78	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $109.65	Professional		$40.74	$47.86	$109.65
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 $30.20 / $35.48 / $83.18	Professional	TC	$30.20	$35.48	$83.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $138.04	Professional		$34.67	$34.67	$138.04
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $8.91 / $35.48	Professional	26	$8.91	$8.91	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	TC	$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $114.82	Professional		$31.62	$43.65	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $28.84	Professional	26	$8.71	$11.48	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $85.11	Professional	TC	$22.39	$31.62	$85.11