Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $549.54	Facility		$407.38	$512.86	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $114.82	Professional		$16.98	$33.88	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.22 / $54.95	Professional	26	$7.08	$16.22	$54.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	50	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.22 / $28.18 / $100.00	Professional	52	$16.22	$28.18	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.20 / $85.11	Professional	TC	$15.85	$30.20	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $457.09	Facility		$151.36	$323.59	$457.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $107.15 / $107.15 / $478.63	Facility	TC	$107.15	$107.15	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $138.04	Professional		$37.15	$44.67	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.59 / $33.88	Professional	26	$10.72	$12.59	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $31.62	Professional	TC	$26.92	$26.92	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $354.81	Facility		$218.78	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $100.00	Professional		$33.88	$42.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $25.12	Professional	26	$9.77	$11.75	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $75.86	Professional	TC	$23.99	$30.90	$75.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $138.04	Professional		$29.51	$29.51	$138.04
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.51 / $33.88	Professional	26	$8.51	$8.51	$33.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	TC	$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $112.20	Professional		$32.36	$38.90	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $26.30	Professional	26	$8.32	$10.72	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $85.11	Professional	TC	$22.39	$28.18	$85.11