Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.51 / $510.51 / $510.51	Facility		$510.51	$510.51	$510.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $34.08 / $35.54	Professional		$29.42	$34.08	$35.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.72 / $10.03	Professional	26	$8.46	$9.72	$10.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.04 / $26.56	Professional	TC	$20.96	$24.04	$26.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $343.88 / $766.84	Facility		$301.58	$343.88	$766.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $45.95 / $151.69	Professional		$38.97	$45.95	$151.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.15 / $11.15 / $36.59	Professional	26	$11.15	$11.15	$36.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.49 / $27.49 / $32.70	Professional	TC	$27.49	$27.49	$32.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $621.74	Facility		$217.97	$217.97	$621.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $52.04 / $151.69	Professional		$42.26	$52.04	$151.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $12.80 / $36.59	Professional	26	$12.50	$12.80	$36.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $36.02 / $57.56	Professional	TC	$29.72	$36.02	$57.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $621.74	Facility		$217.97	$217.97	$621.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $51.23 / $151.69	Professional		$42.26	$51.23	$151.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $12.80 / $36.59	Professional	26	$12.50	$12.80	$36.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $33.38 / $57.23	Professional	TC	$29.72	$33.38	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $49.26 / $161.37	Professional		$33.26	$49.26	$161.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $14.33 / $38.93	Professional	26	$9.44	$14.33	$38.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $35.95 / $96.30	Professional	TC	$24.35	$35.95	$96.30