Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $585.76 / $676.26	Facility		$494.70	$585.76	$676.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $38.25 / $47.86	Professional		$33.00	$38.25	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.94 / $11.07	Professional	26	$7.63	$8.94	$11.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $29.14 / $36.79	Professional	TC	$25.37	$29.14	$36.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $467.52 / $725.89	Facility		$194.37	$467.52	$725.89
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 $144.47 / $596.77 / $657.00	Facility	TC	$144.47	$596.77	$657.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $50.43 / $174.59	Professional		$42.24	$50.43	$174.59
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 $32.33 / $32.33 / $40.20	Professional	TC	$32.33	$32.33	$40.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $532.38	Facility		$217.97	$217.97	$532.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $60.37 / $174.59	Professional		$45.69	$60.37	$174.59
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 $33.72 / $38.86 / $67.77	Professional	TC	$33.72	$38.86	$67.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $532.38	Facility		$217.97	$217.97	$532.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $52.35 / $174.59	Professional		$42.94	$52.35	$174.59
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 $31.85 / $36.29 / $67.77	Professional	TC	$31.85	$36.29	$67.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $51.61 / $147.38	Professional		$39.34	$51.61	$147.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.45 / $37.40	Professional	26	$8.61	$12.45	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.80 / $39.13 / $148.32	Professional	TC	$28.80	$39.13	$148.32