Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $501.59 / $553.86	Facility		$51.07	$501.59	$553.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $468.45 / $468.45 / $946.72	Facility	TC	$468.45	$468.45	$946.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $38.27 / $47.85	Professional		$33.00	$38.27	$47.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $10.11 / $12.41	Professional	26	$8.56	$10.11	$12.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.59 / $19.14 / $20.64	Professional	52	$18.59	$19.14	$20.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $28.07 / $35.43	Professional	TC	$24.44	$28.07	$35.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.27 / $478.35 / $763.45	Facility		$193.27	$478.35	$763.45
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $55.11 / $55.11 / $55.11	Facility	26	$55.11	$55.11	$55.11
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $138.19 / $574.41 / $632.91	Facility	TC	$138.19	$574.41	$632.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $52.68 / $173.15	Professional		$44.69	$52.68	$173.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $11.54 / $38.03	Professional	26	$11.54	$11.54	$38.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.56 / $33.56 / $39.56	Professional	TC	$33.56	$33.56	$39.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $537.28	Facility		$217.97	$217.97	$537.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $59.39 / $173.15	Professional		$45.70	$59.39	$173.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $13.06 / $38.03	Professional	26	$11.90	$13.06	$38.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.71 / $38.31 / $66.95	Professional	TC	$32.71	$38.31	$66.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $537.28	Facility		$217.97	$217.97	$537.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $52.08 / $173.15	Professional		$43.17	$52.08	$173.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $13.06 / $38.03	Professional	26	$12.27	$13.06	$38.03
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.29 / $66.95	Professional	TC	$30.90	$36.29	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $51.04 / $148.72	Professional		$37.72	$51.04	$148.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.47 / $40.46	Professional	26	$9.33	$13.47	$40.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $38.65 / $143.72	Professional	TC	$28.46	$38.65	$143.72