Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $1,000.00	Facility		$363.08	$512.86	$1,000.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	TC	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $37.15 / $120.23	Professional		$9.77	$37.15	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $17.78 / $53.70	Professional	26	$7.76	$17.78	$53.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $66.07 / $213.80	Professional	50	$52.48	$66.07	$213.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	52	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $53.70 / $79.43	Professional	TC	$23.44	$53.70	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $426.58 / $537.03	Facility		$173.78	$426.58	$537.03
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 $125.89 / $125.89 / $562.34	Facility	TC	$125.89	$125.89	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $158.49	Professional		$39.81	$46.77	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $35.48	Professional	26	$10.47	$10.47	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $28.84 / $35.48	Professional	TC	$28.84	$28.84	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $446.68 / $446.68	Facility		$218.78	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $112.20	Professional		$39.81	$46.77	$112.20
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 $28.18 / $35.48 / $87.10	Professional	TC	$28.18	$35.48	$87.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $158.49	Professional		$34.67	$34.67	$158.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $8.91 / $35.48	Professional	26	$8.91	$8.91	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	TC	$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $125.89	Professional		$35.48	$44.67	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $28.84	Professional	26	$8.51	$11.48	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $97.72	Professional	TC	$25.12	$32.36	$97.72