Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $512.86 / $676.08	Facility		$446.68	$512.86	$676.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $275.42 / $316.23 / $316.23	Facility	TC	$275.42	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $104.71	Professional		$16.60	$33.88	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.60 / $52.48	Professional	26	$7.08	$16.60	$52.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $56.23 / $199.53	Professional	50	$33.11	$56.23	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $38.02 / $75.86	Professional	TC	$19.05	$38.02	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $407.38 / $512.86	Facility		$151.36	$407.38	$512.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $102.33 / $102.33 / $457.09	Facility	TC	$102.33	$102.33	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $134.90	Professional		$39.81	$39.81	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $32.36	Professional	26	$10.96	$10.96	$32.36
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 / $407.38 / $407.38	Facility		$218.78	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $97.72	Professional		$34.67	$40.74	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.02 / $26.30	Professional	26	$10.72	$12.02	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $29.51 / $74.13	Professional	TC	$23.44	$29.51	$74.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $134.90	Professional		$28.18	$28.18	$134.90
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $8.91 / $32.36	Professional	26	$8.91	$8.91	$32.36
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	TC	$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $109.65	Professional		$30.90	$39.81	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $26.30	Professional	26	$8.32	$11.22	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.54 / $83.18	Professional	TC	$21.38	$27.54	$83.18