Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.87 / $566.87 / $599.16	Facility		$566.87	$566.87	$599.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $82.68 / $496.00	Professional		$67.84	$82.68	$496.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $35.39 / $153.34	Professional	26	$23.78	$35.39	$153.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $50.59 / $471.16	Professional	TC	$44.04	$50.59	$471.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.09 / $572.17 / $1,339.99	Facility		$214.09	$572.17	$1,339.99
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $157.00 / $157.00 / $157.00	Facility	26	$157.00	$157.00	$157.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $118.33 / $497.24	Professional		$118.33	$118.33	$497.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $40.72 / $111.98	Professional	26	$34.54	$40.72	$111.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.01 / $91.01 / $111.78	Professional	TC	$91.01	$91.01	$111.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.23 / $984.23 / $984.23	Facility		$984.23	$984.23	$984.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $166.39 / $497.24	Professional		$88.18	$166.39	$497.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $38.21 / $111.98	Professional	26	$19.55	$38.21	$111.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.47 / $120.42 / $166.22	Professional	TC	$89.47	$120.42	$166.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $984.23 / $984.23 / $984.23	Facility		$984.23	$984.23	$984.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $166.39 / $497.24	Professional		$128.13	$166.39	$497.24
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $37.70 / $38.65 / $111.98	Professional	26	$37.70	$38.65	$111.98
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $89.47 / $102.02 / $166.22	Professional	TC	$89.47	$102.02	$166.22
United Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $132.22 / $528.92	Professional		$100.46	$132.22	$528.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $39.36 / $119.12	Professional	26	$27.09	$39.36	$119.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.62 / $98.47 / $409.81	Professional	TC	$64.62	$98.47	$409.81