Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,318.26	Facility		$891.25	$891.25	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $537.03	Professional		$95.50	$151.36	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $128.82	Professional	26	$30.20	$45.71	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $128.82 / $389.05	Professional	TC	$67.61	$128.82	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $758.58 / $1,380.38	Facility		$660.69	$758.58	$1,380.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $407.38	Professional		$154.88	$154.88	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $52.48 / $141.25	Professional	26	$52.48	$52.48	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $104.71 / $125.89	Professional	TC	$104.71	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,122.02 / $1,122.02	Facility		$269.15	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $501.19	Professional		$158.49	$208.93	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $56.23 / $162.18	Professional	26	$26.92	$56.23	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $123.03 / $331.13	Professional	TC	$107.15	$123.03	$331.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $501.19	Professional		$120.23	$125.89	$501.19
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $42.66 / $162.18	Professional	26	$38.90	$42.66	$162.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $83.18 / $102.33	Professional	TC	$81.28	$83.18	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $323.59	Professional		$123.03	$151.36	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $47.86 / $104.71	Professional	26	$40.74	$47.86	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $95.50 / $204.17	Professional	TC	$79.43	$95.50	$204.17