Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $549.79 / $989.40	Facility		$25.42	$549.79	$989.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $362.70 / $362.70 / $362.70	Facility	TC	$362.70	$362.70	$362.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $33.96 / $42.45	Professional		$29.28	$33.96	$42.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.63 / $10.62	Professional	26	$7.33	$8.63	$10.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.46 / $16.98 / $18.61	Professional	52	$16.46	$16.98	$18.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $25.21 / $31.82	Professional	TC	$21.94	$25.21	$31.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.33 / $435.43 / $717.58	Facility		$175.33	$435.43	$717.58
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 $125.50 / $515.95 / $567.55	Facility	TC	$125.50	$515.95	$567.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $47.08 / $157.41	Professional		$39.94	$47.08	$157.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $12.39 / $35.15	Professional	26	$10.51	$12.39	$35.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $29.00 / $35.22	Professional	TC	$29.00	$29.00	$35.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $526.28	Facility		$217.97	$217.97	$526.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $53.02 / $157.41	Professional		$41.67	$53.02	$157.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $12.08 / $35.15	Professional	26	$10.97	$12.08	$35.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.69 / $33.86 / $58.85	Professional	TC	$29.69	$33.86	$58.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $526.28	Facility		$217.97	$217.97	$526.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $47.25 / $157.41	Professional		$39.36	$47.25	$157.41
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $12.08 / $35.15	Professional	26	$11.31	$12.08	$35.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $28.05 / $31.37 / $58.85	Professional	TC	$28.05	$31.37	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $45.41 / $167.45	Professional		$33.60	$45.41	$167.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $12.45 / $37.40	Professional	26	$8.60	$12.45	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $33.97 / $99.00	Professional	TC	$25.03	$33.97	$99.00