Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.90 / $494.70 / $553.86	Facility		$331.90	$494.70	$553.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $366.66 / $366.66 / $366.66	Facility	TC	$366.66	$366.66	$366.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $33.61 / $41.99	Professional		$28.96	$33.61	$41.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.63 / $10.62	Professional	26	$7.33	$8.63	$10.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $24.85 / $31.37	Professional	TC	$21.64	$24.85	$31.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.28 / $463.62 / $694.91	Facility		$173.28	$463.62	$694.91
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 $123.43 / $509.08 / $558.97	Facility	TC	$123.43	$509.08	$558.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $48.09 / $157.41	Professional		$40.79	$48.09	$157.41
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 $29.96 / $29.96 / $35.32	Professional	TC	$29.96	$29.96	$35.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $509.67	Facility		$217.97	$217.97	$509.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $54.49 / $157.41	Professional		$41.67	$54.49	$157.41
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 $29.69 / $33.86 / $58.85	Professional	TC	$29.69	$33.86	$58.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $509.67	Facility		$217.97	$217.97	$509.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $47.25 / $157.41	Professional		$39.36	$47.25	$157.41
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 $28.05 / $31.86 / $58.85	Professional	TC	$28.05	$31.86	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $45.41 / $167.45	Professional		$33.60	$45.41	$167.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $12.45 / $37.40	Professional	26	$8.60	$12.45	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $33.97 / $130.05	Professional	TC	$25.03	$33.97	$130.05