Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $982.02 / $999.48	Facility		$83.67	$982.02	$999.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $94.16 / $417.00	Professional		$74.54	$94.16	$417.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.44 / $74.04 / $157.00	Professional	26	$30.44	$74.04	$157.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.06 / $528.51 / $625.50	Professional	50	$111.06	$528.51	$625.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.69 / $57.93 / $260.00	Professional	TC	$44.69	$57.93	$260.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.69 / $694.90 / $961.26	Facility		$417.69	$694.90	$961.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $121.29 / $362.92	Professional		$102.89	$121.29	$362.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $46.25 / $136.34	Professional	26	$39.22	$46.25	$136.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.66 / $63.66 / $75.04	Professional	TC	$63.66	$63.66	$75.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $806.39	Facility		$217.97	$217.97	$806.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $123.56 / $362.92	Professional		$105.49	$123.56	$362.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $47.01 / $136.34	Professional	26	$39.61	$47.01	$136.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.87 / $75.76 / $139.21	Professional	TC	$65.87	$75.76	$139.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $217.97 / $806.39	Facility		$217.97	$217.97	$806.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $122.20 / $362.92	Professional		$102.90	$122.20	$362.92
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $46.84 / $136.34	Professional	26	$38.45	$46.84	$136.34
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $55.36 / $75.40 / $122.10	Professional	TC	$55.36	$75.40	$122.10
United Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $124.66 / $198.21	Professional		$89.14	$124.66	$198.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $47.98 / $74.45	Professional	26	$34.65	$47.98	$74.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $76.68 / $241.02	Professional	TC	$55.03	$76.68	$241.02