Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $741.31	Facility		$489.78	$489.78	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.90 / $95.50	Professional		$16.60	$30.90	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.22 / $52.48	Professional	26	$7.08	$16.22	$52.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $50.12 / $190.55	Professional	50	$33.11	$50.12	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $32.36 / $75.86	Professional	TC	$15.85	$32.36	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $407.38 / $501.19	Facility		$151.36	$407.38	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $107.15 / $107.15 / $467.74	Facility	TC	$107.15	$107.15	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $125.89	Professional		$36.31	$36.31	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $32.36	Professional	26	$10.47	$10.47	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $31.62	Professional	TC	$26.92	$26.92	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $398.11 / $398.11	Facility		$218.78	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $91.20	Professional		$34.67	$40.74	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $25.12	Professional	26	$9.77	$11.75	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.84 / $66.07	Professional	TC	$23.44	$28.84	$66.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $125.89	Professional		$28.84	$28.84	$125.89
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.51 / $32.36	Professional	26	$8.51	$8.51	$32.36
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	TC	$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $100.00	Professional		$29.51	$38.90	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $28.84	Professional	26	$8.32	$10.72	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $74.13	Professional	TC	$19.50	$26.92	$74.13