Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $510.51 / $746.63	Facility		$27.11	$510.51	$746.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $408.60 / $408.60 / $408.60	Facility	TC	$408.60	$408.60	$408.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $43.51 / $47.40	Professional		$37.60	$43.51	$47.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.51 / $11.92	Professional	26	$10.02	$11.51	$11.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.58 / $36.34	Professional	TC	$27.55	$31.58	$36.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.52 / $482.71 / $747.47	Facility		$392.52	$482.71	$747.47
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $1,103.61 / $1,103.61 / $1,155.56	Facility	TC	$1,103.61	$1,103.61	$1,155.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $58.65 / $200.31	Professional		$49.75	$58.65	$200.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $16.07 / $45.18	Professional	26	$13.63	$16.07	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.17 / $36.17 / $44.77	Professional	TC	$36.17	$36.17	$44.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $618.85	Facility		$217.97	$217.97	$618.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $69.70 / $200.31	Professional		$53.99	$69.70	$200.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $15.53 / $45.18	Professional	26	$14.92	$15.53	$45.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.08 / $47.36 / $76.69	Professional	TC	$39.08	$47.36	$76.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $618.85	Facility		$217.97	$217.97	$618.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $65.45 / $200.31	Professional		$53.99	$65.45	$200.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $15.53 / $45.18	Professional	26	$14.92	$15.53	$45.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $39.08 / $43.75 / $76.69	Professional	TC	$39.08	$43.75	$76.69
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $64.16 / $171.86	Professional		$45.83	$64.16	$171.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $16.57 / $48.06	Professional	26	$11.53	$16.57	$48.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.57 / $45.53 / $165.02	Professional	TC	$32.57	$45.53	$165.02