Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $82.23 / $158.29	Professional		$48.28	$82.23	$158.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $47.75 / $65.73	Professional	26	$30.82	$47.75	$65.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $36.89 / $53.49	Professional	TC	$17.46	$36.89	$53.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.36 / $483.60 / $600.22	Facility		$463.36	$483.60	$600.22
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $293.74 / $293.74 / $293.74	Facility	26	$293.74	$293.74	$293.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $58.50 / $203.31	Professional		$49.63	$58.50	$203.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $50.73 / $128.22	Professional	26	$43.04	$50.73	$128.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $29.26 / $34.50	Professional	TC	$29.26	$29.26	$34.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $555.38	Facility		$268.14	$268.14	$555.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $124.11 / $216.52	Professional		$69.81	$124.11	$216.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $67.76 / $128.22	Professional	26	$37.11	$67.76	$128.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.74 / $51.61 / $95.03	Professional	TC	$25.74	$51.61	$95.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $555.38	Facility		$268.14	$268.14	$555.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $119.77 / $203.31	Professional		$58.31	$119.77	$203.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $36.56 / $67.76 / $128.22	Professional	26	$36.56	$67.76	$128.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $44.68 / $59.84	Professional	TC	$21.76	$44.68	$59.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $96.79 / $216.27	Professional		$54.80	$96.79	$216.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $48.69 / $92.57	Professional	26	$32.11	$48.69	$92.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $38.97 / $83.48	Professional	TC	$21.67	$38.97	$83.48