Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $510.51 / $535.53	Facility		$412.25	$510.51	$535.53
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 $24.62 / $28.60 / $35.69	Professional		$24.62	$28.60	$35.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $7.83 / $9.74	Professional	26	$6.71	$7.83	$9.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.86 / $14.30 / $14.30	Professional	52	$13.86	$14.30	$14.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.56 / $25.95	Professional	TC	$17.89	$20.56	$25.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $428.48 / $594.22	Facility		$147.94	$428.48	$594.22
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 $102.33 / $421.35 / $462.62	Facility	TC	$102.33	$421.35	$462.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $38.46 / $120.27	Professional		$32.61	$38.46	$120.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $9.36 / $30.88	Professional	26	$9.36	$9.36	$30.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $23.07 / $27.19	Professional	TC	$23.07	$23.07	$27.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $449.72	Facility		$217.97	$217.97	$449.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $41.25 / $120.27	Professional		$35.11	$41.25	$120.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $10.65 / $30.88	Professional	26	$10.03	$10.65	$30.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $27.51 / $45.07	Professional	TC	$24.16	$27.51	$45.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $449.72	Facility		$217.97	$217.97	$449.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $39.86 / $120.27	Professional		$33.17	$39.86	$120.27
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $10.65 / $30.88	Professional	26	$10.35	$10.65	$30.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $25.57 / $45.07	Professional	TC	$22.82	$25.57	$45.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $38.06 / $105.08	Professional		$26.74	$38.06	$105.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.92 / $29.25	Professional	26	$7.94	$10.92	$29.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $27.05 / $95.09	Professional	TC	$19.20	$27.05	$95.09