Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $524.81	Facility		$288.40	$467.74	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $107.15	Professional		$22.39	$40.74	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.98 / $33.11	Professional	26	$7.94	$16.98	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $40.74 / $72.44	Professional	TC	$16.60	$40.74	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $398.11	Facility		$223.87	$309.03	$398.11
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $407.38 / $407.38 / $426.58	Facility	TC	$407.38	$407.38	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $128.82	Professional		$37.15	$43.65	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.18 / $36.31	Professional	26	$11.22	$13.18	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $25.12 / $29.51	Professional	TC	$25.12	$25.12	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $371.54	Facility		$218.78	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $93.33	Professional		$35.48	$43.65	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $12.88 / $27.54	Professional	26	$11.75	$12.88	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $26.30 / $61.66	Professional	TC	$23.44	$26.30	$61.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $128.82	Professional		$27.54	$27.54	$128.82
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.12 / $36.31	Professional	26	$9.12	$9.12	$36.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.20 / $18.20	Professional	TC	$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $104.71	Professional		$29.51	$40.74	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.88 / $29.51	Professional	26	$9.33	$12.88	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $74.13	Professional	TC	$19.05	$26.30	$74.13