Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.76 / $389.60 / $510.51	Facility		$133.76	$389.60	$510.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.12 / $30.48	Professional		$24.69	$29.12	$30.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.33 / $9.71	Professional	26	$8.08	$9.33	$9.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $19.41 / $21.50	Professional	TC	$16.60	$19.41	$21.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.70 / $312.66 / $531.00	Facility		$224.70	$312.66	$531.00
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $408.96 / $408.96 / $428.21	Facility	TC	$408.96	$408.96	$428.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $43.93 / $127.42	Professional		$37.26	$43.93	$127.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.15 / $13.14 / $36.59	Professional	26	$11.15	$13.14	$36.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $24.95 / $29.41	Professional	TC	$24.95	$24.95	$29.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $443.58	Facility		$217.97	$217.97	$443.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $43.71 / $127.42	Professional		$35.71	$43.71	$127.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $12.74 / $36.59	Professional	26	$12.08	$12.74	$36.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.63 / $26.60 / $45.76	Professional	TC	$23.63	$26.60	$45.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $443.58	Facility		$217.97	$217.97	$443.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $43.29 / $127.42	Professional		$35.71	$43.29	$127.42
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $12.57 / $36.59	Professional	26	$12.08	$12.57	$36.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.63 / $25.74 / $45.07	Professional	TC	$23.63	$25.74	$45.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $41.26 / $110.51	Professional		$27.59	$41.26	$110.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.08 / $38.93	Professional	26	$9.33	$14.08	$38.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $27.53 / $75.81	Professional	TC	$18.26	$27.53	$75.81