Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $616.60	Facility		$338.84	$338.84	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $158.49	Professional		$30.90	$44.67	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $32.36	Professional	26	$8.71	$12.88	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $85.11	Professional	TC	$21.88	$30.90	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $691.83	Facility		$457.09	$588.84	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $177.83	Professional		$47.86	$47.86	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $44.67	Professional	26	$13.80	$13.80	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $39.81	Professional	TC	$33.88	$33.88	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $616.60 / $616.60	Facility		$269.15	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $125.89	Professional		$51.29	$60.26	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.22 / $34.67	Professional	26	$13.18	$16.22	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $95.50	Professional	TC	$36.31	$43.65	$95.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $177.83	Professional		$39.81	$39.81	$177.83
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $44.67	Professional	26	$11.75	$11.75	$44.67
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $141.25	Professional		$40.74	$57.54	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.85 / $36.31	Professional	26	$11.48	$15.85	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $104.71	Professional	TC	$28.18	$39.81	$104.71