Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.68 / $493.68 / $501.59	Facility		$493.68	$493.68	$501.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $31.83 / $39.74	Professional		$27.41	$31.83	$39.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.40 / $11.52	Professional	26	$7.95	$9.40	$11.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.46 / $15.92 / $17.25	Professional	52	$15.46	$15.92	$17.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $22.35 / $28.21	Professional	TC	$19.46	$22.35	$28.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.61 / $427.98 / $628.16	Facility		$161.61	$427.98	$628.16
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $110.75 / $457.50 / $503.93	Facility	TC	$110.75	$457.50	$503.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $45.83 / $145.99	Professional		$38.88	$45.83	$145.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $10.24 / $33.72	Professional	26	$10.24	$10.24	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $28.44 / $33.52	Professional	TC	$28.44	$28.44	$33.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $460.69	Facility		$217.97	$217.97	$460.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $49.58 / $145.99	Professional		$38.14	$49.58	$145.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $11.63 / $33.72	Professional	26	$10.97	$11.63	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $32.88 / $56.42	Professional	TC	$26.16	$32.88	$56.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $460.69	Facility		$217.97	$217.97	$460.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $44.41 / $145.99	Professional		$36.03	$44.41	$145.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $11.63 / $33.72	Professional	26	$11.31	$11.63	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $31.37 / $56.42	Professional	TC	$24.72	$31.37	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $45.03 / $155.30	Professional		$32.22	$45.03	$155.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.98 / $35.86	Professional	26	$8.61	$12.98	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $35.03 / $94.91	Professional	TC	$18.80	$35.03	$94.91