Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $537.34 / $537.34	Facility		$494.70	$537.34	$537.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $29.32 / $36.61	Professional		$25.25	$29.32	$36.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $10.19	Professional	26	$7.03	$8.22	$10.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $20.92 / $26.40	Professional	TC	$18.21	$20.92	$26.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $446.25 / $662.03	Facility		$152.16	$446.25	$662.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.61 / $45.61 / $45.61	Facility	26	$45.61	$45.61	$45.61
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $106.52 / $428.24 / $471.24	Facility	TC	$106.52	$428.24	$471.24
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 $10.39 / $10.39 / $32.28	Professional	26	$10.39	$10.39	$32.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.88 / $26.88 / $31.68	Professional	TC	$26.88	$26.88	$31.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $473.11	Facility		$217.97	$217.97	$473.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $42.72 / $124.54	Professional		$35.11	$42.72	$124.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $11.53 / $32.28	Professional	26	$10.03	$11.53	$32.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $28.64 / $45.88	Professional	TC	$23.50	$28.64	$45.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $473.11	Facility		$217.97	$217.97	$473.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $41.00 / $124.54	Professional		$34.59	$41.00	$124.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $11.53 / $32.28	Professional	26	$10.35	$11.53	$32.28
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $26.59 / $45.88	Professional	TC	$23.48	$26.59	$45.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $39.69 / $109.16	Professional		$29.23	$39.69	$109.16
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 $20.57 / $28.81 / $98.14	Professional	TC	$20.57	$28.81	$98.14