Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.98 / $889.98 / $978.76	Facility		$889.98	$889.98	$978.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $142.43 / $612.00	Professional		$97.36	$142.43	$612.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.39 / $183.00	Professional	26	$34.67	$50.39	$183.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.39 / $100.99 / $454.00	Professional	TC	$67.39	$100.99	$454.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.24 / $756.17 / $1,823.46	Facility		$635.24	$756.17	$1,823.46
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $236.60 / $236.60 / $236.60	Facility	26	$236.60	$236.60	$236.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $182.58	Professional		$154.88	$154.88	$182.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.41 / $52.41 / $61.77	Professional	26	$52.41	$52.41	$61.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.90 / $105.90 / $124.84	Professional	TC	$105.90	$105.90	$124.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $1,339.32	Facility		$268.14	$268.14	$1,339.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $186.66 / $498.76	Professional		$167.77	$186.66	$498.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.16 / $55.84 / $160.66	Professional	26	$47.16	$55.84	$160.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.81 / $118.67 / $242.52	Professional	TC	$108.81	$118.67	$242.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $1,339.32	Facility		$268.14	$268.14	$1,339.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $169.94 / $498.76	Professional		$140.96	$169.94	$498.76
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $45.40 / $55.84 / $160.66	Professional	26	$45.40	$55.84	$160.66
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $95.56 / $114.10 / $186.97	Professional	TC	$95.56	$114.10	$186.97
United Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $160.97 / $272.39	Professional		$115.22	$160.97	$272.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.00 / $53.02 / $87.75	Professional	26	$41.00	$53.02	$87.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.51 / $105.11 / $184.65	Professional	TC	$83.51	$105.11	$184.65