Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.44 / $511.55 / $539.38	Facility		$125.44	$511.55	$539.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $32.19 / $40.22	Professional		$27.73	$32.19	$40.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.07 / $11.10	Professional	26	$7.66	$9.07	$11.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.64 / $16.10 / $17.07	Professional	52	$15.64	$16.10	$17.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $23.06 / $29.11	Professional	TC	$20.07	$23.06	$29.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $445.68 / $603.16	Facility		$163.72	$445.68	$603.16
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.75 / $48.75 / $48.75	Facility	26	$48.75	$48.75	$48.75
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $114.95 / $472.97 / $519.41	Facility	TC	$114.95	$472.97	$519.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $45.46 / $144.55	Professional		$38.56	$45.46	$144.55
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 $28.44 / $28.44 / $33.52	Professional	TC	$28.44	$28.44	$33.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $422.14	Facility		$217.97	$217.97	$422.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $49.09 / $144.55	Professional		$38.13	$49.09	$144.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $11.85 / $33.72	Professional	26	$10.50	$11.85	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.68 / $32.39 / $54.80	Professional	TC	$26.68	$32.39	$54.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $422.14	Facility		$217.97	$217.97	$422.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $44.11 / $144.55	Professional		$36.02	$44.11	$144.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $11.85 / $33.72	Professional	26	$10.83	$11.85	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $31.37 / $54.80	Professional	TC	$25.19	$31.37	$54.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $42.72 / $140.00	Professional		$33.20	$42.72	$140.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.94 / $35.86	Professional	26	$8.23	$11.94	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $31.63 / $117.90	Professional	TC	$19.17	$31.63	$117.90