Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.35 / $891.62 / $999.58	Facility		$456.35	$891.62	$999.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $28.96 / $31.46	Professional		$24.92	$28.96	$31.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $8.40	Professional	26	$7.03	$8.22	$8.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.03 / $14.48 / $15.73	Professional	52	$14.03	$14.48	$15.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.56 / $23.19	Professional	TC	$17.89	$20.56	$23.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.03 / $421.46 / $605.91	Facility		$150.03	$421.46	$605.91
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 $104.40 / $210.67 / $231.33	Facility	TC	$104.40	$210.67	$231.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $41.61 / $133.13	Professional		$35.29	$41.61	$133.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $10.24 / $33.72	Professional	26	$10.24	$10.24	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $24.86 / $29.31	Professional	TC	$24.86	$24.86	$29.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $422.76	Facility		$268.14	$268.14	$422.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $45.66 / $133.13	Professional		$35.60	$45.66	$133.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $11.58 / $33.72	Professional	26	$10.03	$11.58	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.97 / $28.44 / $49.12	Professional	TC	$23.97	$28.44	$49.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $422.76	Facility		$268.14	$268.14	$422.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $40.43 / $133.13	Professional		$34.11	$40.43	$133.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $11.58 / $33.72	Professional	26	$10.35	$11.58	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $27.42 / $49.12	Professional	TC	$23.77	$27.42	$49.12
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $39.34 / $114.64	Professional		$29.15	$39.34	$114.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.88 / $35.86	Professional	26	$8.23	$11.88	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $30.86 / $82.65	Professional	TC	$20.92	$30.86	$82.65