Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $94.36 / $107.58	Professional		$81.59	$94.36	$107.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $16.54 / $16.96	Professional	26	$14.19	$16.54	$16.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $77.40 / $91.96	Professional	TC	$67.40	$77.40	$91.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.45 / $793.50 / $1,139.02	Facility		$498.45	$793.50	$1,139.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $98.64 / $98.64 / $98.64	Facility	26	$98.64	$98.64	$98.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $133.26 / $449.05	Professional		$113.05	$133.26	$449.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $25.28 / $65.23	Professional	26	$21.44	$25.28	$65.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.06 / $92.06 / $113.46	Professional	TC	$92.06	$92.06	$113.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $585.87 / $801.59	Facility		$585.87	$585.87	$801.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $148.65 / $449.05	Professional		$112.24	$148.65	$449.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $22.77 / $65.23	Professional	26	$21.92	$22.77	$65.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.47 / $107.49 / $184.54	Professional	TC	$89.47	$107.49	$184.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $585.87 / $801.59	Facility		$585.87	$585.87	$801.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $134.47 / $449.05	Professional		$112.24	$134.47	$449.05
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $22.77 / $65.23	Professional	26	$22.20	$22.77	$65.23
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $89.47 / $99.13 / $184.54	Professional	TC	$89.47	$99.13	$184.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $124.68 / $372.26	Professional		$93.95	$124.68	$372.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.21 / $25.95 / $61.84	Professional	26	$17.21	$25.95	$61.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.18 / $107.42 / $408.29	Professional	TC	$78.18	$107.42	$408.29