Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.51 / $544.80 / $544.80	Facility		$510.51	$544.80	$544.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $29.67 / $32.47	Professional		$25.55	$29.67	$32.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $8.40	Professional	26	$7.03	$8.22	$8.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.38 / $14.84 / $16.23	Professional	52	$14.38	$14.84	$16.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $21.28 / $24.54	Professional	TC	$18.53	$21.28	$24.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $427.02 / $604.44	Facility		$152.16	$427.02	$604.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.61 / $45.61 / $45.61	Facility	26	$45.61	$45.61	$45.61
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $106.52 / $435.12 / $479.83	Facility	TC	$106.52	$435.12	$479.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $44.17 / $138.84	Professional		$37.47	$44.17	$138.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $12.59 / $33.72	Professional	26	$10.68	$12.59	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.81 / $26.81 / $31.60	Professional	TC	$26.81	$26.81	$31.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $425.36	Facility		$217.97	$217.97	$425.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $46.64 / $138.84	Professional		$36.11	$46.64	$138.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $11.53 / $33.72	Professional	26	$10.03	$11.53	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $30.91 / $52.36	Professional	TC	$25.16	$30.91	$52.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $425.36	Facility		$217.97	$217.97	$425.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $42.44 / $138.84	Professional		$34.11	$42.44	$138.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $11.53 / $33.72	Professional	26	$10.35	$11.53	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $29.39 / $52.36	Professional	TC	$23.77	$29.39	$52.36
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $41.73 / $120.08	Professional		$32.11	$41.73	$120.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.88 / $35.86	Professional	26	$8.23	$11.88	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $32.89 / $111.82	Professional	TC	$23.96	$32.89	$111.82