Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $776.25	Facility		$446.68	$524.81	$776.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	TC	$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $47.86 / $147.91	Professional		$17.38	$47.86	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.78 / $36.31	Professional	26	$7.94	$17.78	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $64.57 / $229.09	Professional	50	$17.78	$64.57	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $63.10 / $112.20	Professional	TC	$28.18	$63.10	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $549.54	Facility		$194.98	$436.52	$549.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $144.54 / $144.54 / $660.69	Facility	TC	$144.54	$144.54	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $173.78	Professional		$42.66	$42.66	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $35.48	Professional	26	$11.22	$11.22	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $39.81	Professional	TC	$32.36	$32.36	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $446.68 / $446.68	Facility		$218.78	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $125.89	Professional		$42.66	$52.48	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.02 / $26.30	Professional	26	$10.72	$12.02	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $40.74 / $102.33	Professional	TC	$31.62	$40.74	$102.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $173.78	Professional		$38.90	$38.90	$173.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $8.91 / $35.48	Professional	26	$8.91	$8.91	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	TC	$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $141.25	Professional		$38.90	$48.98	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $28.84	Professional	26	$8.71	$11.48	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $114.82	Professional	TC	$28.84	$36.31	$114.82