Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $512.86 / $831.76	Facility		$371.54	$512.86	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $34.67 / $91.20	Professional		$9.77	$34.67	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $18.20 / $38.90	Professional	26	$7.94	$18.20	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $32.36 / $89.13	Professional	TC	$18.62	$32.36	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $338.84 / $575.44	Facility		$302.00	$338.84	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $151.36	Professional		$38.90	$38.90	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $36.31	Professional	26	$11.22	$11.22	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $27.54 / $32.36	Professional	TC	$27.54	$27.54	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $524.81 / $524.81	Facility		$218.78	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $109.65	Professional		$42.66	$51.29	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.18 / $28.18	Professional	26	$10.72	$13.18	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $36.31 / $83.18	Professional	TC	$29.51	$36.31	$83.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $151.36	Professional		$32.36	$32.36	$151.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.55 / $36.31	Professional	26	$9.55	$9.55	$36.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $22.91 / $22.91	Professional	TC	$22.91	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $123.03	Professional		$34.67	$47.86	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.88 / $29.51	Professional	26	$9.33	$12.88	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $93.33	Professional	TC	$24.55	$33.11	$93.33