Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $524.81	Facility		$204.17	$204.17	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $194.98	Professional		$57.54	$89.13	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $52.48 / $186.21	Professional	26	$33.88	$52.48	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	50	$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $32.36 / $47.86	Professional	TC	$16.98	$32.36	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $512.86	Facility		$354.81	$457.09	$512.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $331.13	Professional		$50.12	$50.12	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $177.83	Professional	26	$42.66	$42.66	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $141.25	Professional	TC	$29.51	$29.51	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $467.74	Facility		$269.15	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $302.00	Professional		$64.57	$138.04	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $67.61 / $165.96	Professional	26	$20.89	$67.61	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $54.95 / $131.83	Professional	TC	$24.55	$54.95	$131.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $204.17	Professional		$50.12	$54.95	$204.17
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.11 / $128.82	Professional	26	$30.90	$33.11	$128.82
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $21.38 / $39.81	Professional	TC	$18.62	$21.38	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $169.82	Professional		$53.70	$89.13	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $87.10	Professional	26	$30.20	$48.98	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $38.90 / $79.43	Professional	TC	$20.42	$38.90	$79.43