Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.46 / $150.46 / $150.46	Facility		$150.46	$150.46	$150.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $179.53 / $224.43	Professional		$46.35	$179.53	$224.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $33.88 / $179.30	Professional	26	$29.01	$33.88	$179.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $150.53 / $187.42	Professional	TC	$21.99	$150.53	$187.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.98 / $873.51 / $1,237.31	Facility		$427.98	$873.51	$1,237.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $196.23 / $196.23 / $196.23	Facility	26	$196.23	$196.23	$196.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $94.97 / $245.74	Professional		$82.98	$94.97	$245.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.12 / $49.34 / $126.32	Professional	26	$43.12	$49.34	$126.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.86 / $45.62 / $45.62	Professional	TC	$39.86	$45.62	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.77 / $870.77 / $870.77	Facility		$870.77	$870.77	$870.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $129.56 / $285.41	Professional		$71.23	$129.56	$285.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $46.02 / $126.32	Professional	26	$37.11	$46.02	$126.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.11 / $42.41 / $232.29	Professional	TC	$34.11	$42.41	$232.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.77 / $870.77 / $870.77	Facility		$870.77	$870.77	$870.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $129.56 / $253.98	Professional		$70.16	$129.56	$253.98
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $46.02 / $126.32	Professional	26	$35.79	$46.02	$126.32
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $34.36 / $42.41 / $232.29	Professional	TC	$34.36	$42.41	$232.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $134.21 / $261.41	Professional		$58.47	$134.21	$261.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.09 / $41.30 / $68.98	Professional	26	$32.09	$41.30	$68.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.03 / $61.84 / $189.72	Professional	TC	$26.03	$61.84	$189.72