Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $489.78 / $630.96	Facility		$85.11	$489.78	$630.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	TC	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $38.90 / $128.82	Professional		$9.55	$38.90	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $17.78 / $38.90	Professional	26	$7.08	$17.78	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $117.49 / $269.15	Professional	50	$53.70	$117.49	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $54.95 / $93.33	Professional	TC	$23.99	$54.95	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $389.05 / $524.81	Facility		$173.78	$389.05	$524.81
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 $123.03 / $123.03 / $562.34	Facility	TC	$123.03	$123.03	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $158.49	Professional		$40.74	$40.74	$158.49
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 $30.20 / $30.20 / $35.48	Professional	TC	$30.20	$30.20	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $426.58	Facility		$218.78	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $114.82	Professional		$39.81	$46.77	$114.82
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 $28.18 / $34.67 / $89.13	Professional	TC	$28.18	$34.67	$89.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $158.49	Professional		$33.88	$33.88	$158.49
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 $24.55 / $24.55 / $24.55	Professional	TC	$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $128.82	Professional		$35.48	$44.67	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $28.84	Professional	26	$8.51	$11.48	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $100.00	Professional	TC	$25.12	$32.36	$100.00