Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $245.19 / $259.52	Professional		$211.53	$245.19	$259.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $56.99 / $83.46	Professional	26	$48.86	$56.99	$83.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $76.75 / $122.60 / $122.60	Professional	52	$76.75	$122.60	$122.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.66 / $186.78 / $202.54	Professional	TC	$162.66	$186.78	$202.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.28 / $3,932.20 / $5,036.02	Facility		$1,414.28	$3,932.20	$5,036.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $335.22 / $335.22 / $335.22	Facility	26	$335.22	$335.22	$335.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $260.70 / $628.29	Professional		$221.16	$260.70	$628.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.67 / $99.81 / $333.73	Professional	26	$84.67	$99.81	$333.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.86 / $106.86 / $125.96	Professional	TC	$106.86	$106.86	$125.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,544.08 / $3,544.08 / $7,473.86	Facility		$3,544.08	$3,544.08	$7,473.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.61 / $364.53 / $628.29	Professional		$212.61	$364.53	$628.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.01 / $114.06 / $333.73	Professional	26	$77.01	$114.06	$333.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.54 / $148.41 / $432.11	Professional	TC	$98.54	$148.41	$432.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,544.08 / $3,544.08 / $7,473.86	Facility		$3,544.08	$3,544.08	$7,473.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $212.61 / $366.43 / $628.29	Professional		$212.61	$366.43	$628.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $77.01 / $114.06 / $333.73	Professional	26	$77.01	$114.06	$333.73
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $98.54 / $148.41 / $304.14	Professional	TC	$98.54	$148.41	$304.14
United Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $325.33 / $668.34	Professional		$183.80	$325.33	$668.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.12 / $105.97 / $355.01	Professional	26	$77.12	$105.97	$355.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.74 / $160.87 / $548.53	Professional	TC	$82.74	$160.87	$548.53