Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.83 / $800.93 / $905.79	Facility		$438.83	$800.93	$905.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $683.10 / $683.10 / $700.20	Facility	TC	$683.10	$683.10	$700.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $111.76 / $420.23	Professional		$89.57	$111.76	$420.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.54 / $30.19 / $116.00	Professional	26	$20.54	$30.19	$116.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.80 / $80.93 / $362.53	Professional	TC	$50.80	$80.93	$362.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.68 / $584.27 / $1,110.23	Facility		$412.68	$584.27	$1,110.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $171.89 / $171.89 / $171.89	Facility	26	$171.89	$171.89	$171.89
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $412.45 / $772.21 / $806.62	Facility	TC	$412.45	$772.21	$806.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $132.96 / $375.74	Professional		$112.80	$132.96	$375.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.38 / $41.71 / $117.69	Professional	26	$35.38	$41.71	$117.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.42 / $91.26 / $91.26	Professional	TC	$77.42	$91.26	$91.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $814.33	Facility		$268.14	$268.14	$814.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $141.68 / $375.74	Professional		$125.17	$141.68	$375.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.59 / $40.78 / $117.69	Professional	26	$34.59	$40.78	$117.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.08 / $91.25 / $184.02	Professional	TC	$83.08	$91.25	$184.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $814.33	Facility		$268.14	$268.14	$814.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $126.90 / $375.74	Professional		$105.51	$126.90	$375.74
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $32.93 / $40.78 / $117.69	Professional	26	$32.93	$40.78	$117.69
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $72.17 / $86.52 / $140.75	Professional	TC	$72.17	$86.52	$140.75
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $119.31 / $205.21	Professional		$92.75	$119.31	$205.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $38.71 / $98.00	Professional	26	$29.95	$38.71	$98.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.96 / $81.27 / $140.93	Professional	TC	$62.96	$81.27	$140.93