Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $510.51 / $537.34	Facility		$494.70	$510.51	$537.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $313.64 / $313.64 / $313.64	Facility	TC	$313.64	$313.64	$313.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $28.96 / $36.13	Professional		$24.92	$28.96	$36.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $10.62	Professional	26	$7.33	$8.55	$10.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.20 / $25.50	Professional	TC	$17.57	$20.20	$25.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $444.13 / $679.62	Facility		$152.16	$444.13	$679.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $49.85 / $49.85	Facility	26	$49.85	$49.85	$49.85
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $102.33 / $414.49 / $455.80	Facility	TC	$102.33	$414.49	$455.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $46.90 / $134.53	Professional		$39.79	$46.90	$134.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.93 / $32.28	Professional	26	$10.96	$12.93	$32.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.25 / $27.25 / $32.11	Professional	TC	$27.25	$27.25	$32.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $480.85	Facility		$217.97	$217.97	$480.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $46.15 / $134.53	Professional		$36.64	$46.15	$134.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $11.63 / $32.28	Professional	26	$10.97	$11.63	$32.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $29.43 / $50.74	Professional	TC	$24.66	$29.43	$50.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $480.85	Facility		$217.97	$217.97	$480.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $41.01 / $134.53	Professional		$34.60	$41.01	$134.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $11.63 / $32.28	Professional	26	$11.04	$11.63	$32.28
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $27.91 / $50.74	Professional	TC	$23.29	$27.91	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $39.79 / $115.99	Professional		$31.04	$39.79	$115.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $11.68 / $30.64	Professional	26	$8.30	$11.68	$30.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $29.29 / $108.76	Professional	TC	$17.72	$29.29	$108.76