Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $501.19 / $588.84	Facility		$457.09	$501.19	$588.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $467.74 / $954.99	Facility	TC	$251.19	$467.74	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $52.48 / $158.49	Professional		$19.05	$52.48	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $19.50 / $41.69	Professional	26	$8.71	$19.50	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.70 / $64.57 / $162.18	Professional	50	$25.70	$64.57	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $60.26 / $109.65	Professional	TC	$26.92	$60.26	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $575.44	Facility		$194.98	$446.68	$575.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $138.04 / $138.04 / $630.96	Facility	TC	$138.04	$138.04	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $173.78	Professional		$44.67	$44.67	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $11.48 / $38.02	Professional	26	$11.48	$11.48	$38.02
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 $218.78 / $457.09 / $457.09	Facility		$218.78	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $125.89	Professional		$43.65	$52.48	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.18 / $29.51	Professional	26	$11.22	$13.18	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $39.81 / $97.72	Professional	TC	$30.90	$39.81	$97.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $173.78	Professional		$38.02	$38.02	$173.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.00 / $38.02	Professional	26	$10.00	$10.00	$38.02
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 $39.81 / $48.98 / $141.25	Professional		$39.81	$48.98	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $30.90	Professional	26	$9.33	$12.30	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $109.65	Professional	TC	$28.18	$36.31	$109.65