Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $1,000.00	Facility		$537.03	$933.25	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $457.09	Professional		$93.33	$162.18	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $52.48 / $100.00	Professional	26	$20.89	$52.48	$100.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.33 / $107.15 / $239.88	Professional	52	$102.33	$107.15	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $120.23 / $363.08	Professional	TC	$72.44	$120.23	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $812.83	Facility		$512.86	$630.96	$812.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $316.23	Professional		$134.90	$158.49	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $42.66 / $97.72	Professional	26	$36.31	$42.66	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $123.03 / $123.03	Professional	TC	$102.33	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $645.65 / $645.65	Facility		$269.15	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $478.63	Professional		$138.04	$169.82	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $38.90 / $112.20	Professional	26	$19.95	$38.90	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $123.03 / $309.03	Professional	TC	$102.33	$123.03	$309.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $478.63	Professional		$114.82	$117.49	$478.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $29.51 / $112.20	Professional	26	$26.92	$29.51	$112.20
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $89.13 / $102.33	Professional	TC	$87.10	$89.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $309.03	Professional		$109.65	$128.82	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $33.11 / $72.44	Professional	26	$27.54	$33.11	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $93.33 / $213.80	Professional	TC	$81.28	$93.33	$213.80