Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $534.63 / $563.59	Facility		$494.70	$534.63	$563.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $35.75 / $44.70	Professional		$30.82	$35.75	$44.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.63 / $10.62	Professional	26	$7.33	$8.63	$10.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $27.00 / $34.08	Professional	TC	$23.51	$27.00	$34.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.24 / $463.62 / $744.37	Facility		$192.24	$463.62	$744.37
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 $142.40 / $552.07 / $608.84	Facility	TC	$142.40	$552.07	$608.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $138.84	Professional		$40.65	$40.65	$138.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $11.31 / $35.15	Professional	26	$11.31	$11.31	$35.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.94 / $29.94 / $35.29	Professional	TC	$29.94	$29.94	$35.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $537.19	Facility		$217.97	$217.97	$537.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $47.62 / $138.84	Professional		$42.50	$47.62	$138.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $12.08 / $35.15	Professional	26	$10.97	$12.08	$35.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.38 / $35.54 / $61.19	Professional	TC	$30.38	$35.54	$61.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $537.19	Facility		$217.97	$217.97	$537.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $47.62 / $138.84	Professional		$40.95	$47.62	$138.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $12.08 / $35.15	Professional	26	$11.31	$12.08	$35.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $34.22 / $49.93	Professional	TC	$28.93	$34.22	$49.93
United Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $48.43 / $117.34	Professional		$31.92	$48.43	$117.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.99 / $37.40	Professional	26	$8.61	$12.99	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $35.54 / $110.29	Professional	TC	$22.85	$35.54	$110.29