Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,148.15	Facility		$151.36	$1,071.52	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $630.96	Professional		$46.77	$120.23	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $123.03	Professional	26	$25.12	$41.69	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $44.67 / $194.98	Professional	TC	$20.89	$44.67	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,047.13	Facility		$436.52	$870.96	$1,047.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $95.50	Professional		$83.18	$95.50	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $48.98 / $48.98	Professional	26	$42.66	$48.98	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $45.71 / $45.71	Professional	TC	$39.81	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $169.82 / $457.09	Professional		$42.66	$169.82	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $45.71 / $125.89	Professional	26	$21.38	$45.71	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $57.54 / $371.54	Professional	TC	$20.89	$57.54	$371.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $245.47	Professional		$58.88	$60.26	$245.47
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.11 / $125.89	Professional	26	$30.90	$33.11	$125.89
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $29.51 / $39.81	Professional	TC	$25.70	$29.51	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $245.47	Professional		$57.54	$81.28	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.02 / $83.18	Professional	26	$32.36	$38.02	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $169.82	Professional	TC	$24.55	$36.31	$169.82