Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $288.40	Professional		$64.57	$104.71	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $58.88	Professional	26	$12.02	$16.98	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $87.10 / $128.82	Professional	TC	$52.48	$87.10	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $851.14	Facility		$501.19	$660.69	$851.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $446.68	Professional		$112.20	$112.20	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.38 / $64.57	Professional	26	$21.38	$21.38	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $91.20 / $112.20	Professional	TC	$91.20	$91.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $676.08	Facility		$588.84	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $316.23	Professional		$112.20	$134.90	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $48.98	Professional	26	$20.89	$23.99	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $107.15 / $251.19	Professional	TC	$89.13	$107.15	$251.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $446.68	Professional		$85.11	$85.11	$446.68
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $64.57	Professional	26	$16.22	$16.22	$64.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	TC	$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $363.08	Professional		$100.00	$125.89	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $52.48	Professional	26	$16.60	$21.88	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $102.33 / $309.03	Professional	TC	$77.62	$102.33	$309.03