Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $214.39 / $915.00	Professional		$194.61	$214.39	$915.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.29 / $36.15 / $165.00	Professional	26	$31.29	$36.15	$165.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.75 / $171.78 / $427.06	Professional	TC	$161.75	$171.78	$427.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.38 / $1,031.25 / $1,817.01	Facility		$748.38	$1,031.25	$1,817.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.44 / $303.47 / $694.47	Professional		$257.44	$303.47	$694.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.92 / $58.92 / $118.28	Professional	26	$58.92	$58.92	$118.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.78 / $217.78 / $256.70	Professional	TC	$217.78	$217.78	$256.70
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 $207.45 / $363.41 / $694.47	Professional		$207.45	$363.41	$694.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.75 / $47.67 / $118.28	Professional	26	$34.75	$47.67	$118.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.94 / $272.66 / $431.16	Professional	TC	$171.94	$272.66	$431.16
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 $207.45 / $314.95 / $694.47	Professional		$207.45	$314.95	$694.47
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $47.67 / $118.28	Professional	26	$35.52	$47.67	$118.28
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $171.94 / $239.83 / $366.64	Professional	TC	$171.94	$239.83	$366.64
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $320.49 / $809.95	Professional		$198.85	$320.49	$809.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $48.34 / $140.53	Professional	26	$34.72	$48.34	$140.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.21 / $279.37 / $669.42	Professional	TC	$163.21	$279.37	$669.42