Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $549.79 / $989.40	Facility		$494.70	$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 $28.64 / $33.25 / $41.54	Professional		$28.64	$33.25	$41.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $10.62	Professional	26	$7.33	$8.55	$10.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.11 / $16.63 / $17.43	Professional	52	$16.11	$16.63	$17.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $24.49 / $30.92	Professional	TC	$21.32	$24.49	$30.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.28 / $428.74 / $710.04	Facility		$173.28	$428.74	$710.04
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 $123.43 / $502.21 / $552.07	Facility	TC	$123.43	$502.21	$552.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $47.94 / $145.99	Professional		$40.67	$47.94	$145.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $12.79 / $33.72	Professional	26	$10.85	$12.79	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $28.91 / $34.08	Professional	TC	$28.91	$28.91	$34.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $499.70	Facility		$217.97	$217.97	$499.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $49.59 / $145.99	Professional		$39.54	$49.59	$145.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $11.63 / $33.72	Professional	26	$10.97	$11.63	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.91 / $33.18 / $54.80	Professional	TC	$27.91	$33.18	$54.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $499.70	Facility		$217.97	$217.97	$499.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $46.68 / $145.99	Professional		$38.88	$46.68	$145.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $11.63 / $33.72	Professional	26	$11.31	$11.63	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.57 / $29.64 / $54.80	Professional	TC	$27.57	$29.64	$54.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $44.61 / $124.16	Professional		$29.58	$44.61	$124.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.94 / $31.99	Professional	26	$8.61	$11.94	$31.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $31.63 / $119.43	Professional	TC	$23.31	$31.63	$119.43