Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.70 / $1,031.70 / $1,031.70	Facility		$1,031.70	$1,031.70	$1,031.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $208.24 / $974.00	Professional		$189.31	$208.24	$974.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $31.64 / $181.00	Professional	26	$26.96	$31.64	$181.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.62 / $171.60 / $345.46	Professional	TC	$161.62	$171.60	$345.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.04 / $1,190.04 / $1,285.66	Facility		$1,190.04	$1,190.04	$1,285.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.56 / $371.98 / $886.52	Professional		$315.56	$371.98	$886.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $585.87 / $585.87	Facility		$585.87	$585.87	$585.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $464.29 / $886.52	Professional		$265.61	$464.29	$886.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.53 / $45.66 / $133.16	Professional	26	$32.53	$45.66	$133.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.97 / $350.95 / $566.82	Professional	TC	$224.97	$350.95	$566.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $585.87 / $585.87	Facility		$585.87	$585.87	$585.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $388.58 / $886.52	Professional		$265.61	$388.58	$886.52
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $45.66 / $133.16	Professional	26	$37.63	$45.66	$133.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $224.97 / $321.38 / $490.36	Professional	TC	$224.97	$321.38	$490.36
United Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $400.86 / $1,055.00	Professional		$258.76	$400.86	$1,055.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.06 / $42.41 / $159.66	Professional	26	$38.06	$42.41	$159.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.76 / $361.91 / $895.34	Professional	TC	$207.76	$361.91	$895.34