Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $142.72 / $593.00	Professional		$106.00	$142.72	$593.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $22.21 / $125.15	Professional	26	$18.44	$22.21	$125.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.81 / $108.11 / $189.87	Professional	TC	$101.81	$108.11	$189.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $971.21 / $1,013.62 / $1,303.56	Facility		$971.21	$1,013.62	$1,303.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.91 / $245.08 / $526.96	Professional		$207.91	$245.08	$526.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $56.00 / $80.92	Professional	26	$49.65	$56.00	$80.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.46 / $199.46 / $235.11	Professional	TC	$199.46	$199.46	$235.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $268.14	Facility		$268.14	$268.14	$268.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $276.94 / $526.96	Professional		$159.27	$276.94	$526.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $31.01 / $80.92	Professional	26	$19.85	$31.01	$80.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.57 / $222.28 / $338.16	Professional	TC	$134.57	$222.28	$338.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $268.14	Facility		$268.14	$268.14	$268.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $242.22 / $526.96	Professional		$159.27	$242.22	$526.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $31.01 / $80.92	Professional	26	$24.70	$31.01	$80.92
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $134.57 / $191.63 / $287.17	Professional	TC	$134.57	$191.63	$287.17
United Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $240.11 / $622.78	Professional		$153.02	$240.11	$622.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $29.81 / $98.45	Professional	26	$24.10	$29.81	$98.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.86 / $209.47 / $524.33	Professional	TC	$127.86	$209.47	$524.33