Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $263.03	Professional		$128.82	$181.97	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $79.43 / $194.98	Professional	26	$42.66	$79.43	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $93.33 / $204.17	Professional	TC	$69.18	$93.33	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,801.89	Facility		$1,412.54	$1,412.54	$3,801.89
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $630.96	Professional		$218.78	$218.78	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $331.13	Professional	26	$85.11	$85.11	$331.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $107.15 / $125.89	Professional	TC	$107.15	$107.15	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $7,413.10	Facility		$2,951.21	$2,951.21	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $602.56	Professional		$213.80	$363.08	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $114.82 / $223.87	Professional	26	$74.13	$114.82	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $204.17 / $436.52	Professional	TC	$87.10	$204.17	$436.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $630.96	Professional		$177.83	$177.83	$630.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $331.13	Professional	26	$54.95	$54.95	$331.13
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $794.33	Professional		$165.96	$323.59	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $97.72 / $269.15	Professional	26	$77.62	$97.72	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $151.36 / $549.54	Professional	TC	$79.43	$151.36	$549.54