Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $977.24 / $1,000.00	Facility		$83.18	$977.24	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $354.81	Professional		$69.18	$117.49	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $69.18 / $128.82	Professional	26	$25.70	$69.18	$128.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $190.55 / $562.34	Professional	50	$104.71	$190.55	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $177.83	Professional	TC	$42.66	$61.66	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $912.01	Facility		$416.87	$602.56	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $134.90	Professional	26	$38.90	$38.90	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $63.10 / $75.86	Professional	TC	$63.10	$63.10	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $676.08 / $676.08	Facility		$218.78	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $363.08	Professional		$63.10	$123.03	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $46.77 / $134.90	Professional	26	$22.91	$46.77	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $75.86 / $162.18	Professional	TC	$40.74	$75.86	$162.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $363.08	Professional		$87.10	$89.13	$363.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $35.48 / $134.90	Professional	26	$33.11	$35.48	$134.90
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $64.57	Professional	TC	$54.95	$54.95	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $229.09	Professional		$89.13	$107.15	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $39.81 / $89.13	Professional	26	$33.88	$39.81	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $63.10 / $134.90	Professional	TC	$51.29	$63.10	$134.90