Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $977.24	Facility		$79.43	$870.96	$977.24
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	TC	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $131.83 / $549.54	Professional		$37.15	$131.83	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $39.81 / $91.20	Professional	26	$19.95	$39.81	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $134.90 / $457.09	Professional	TC	$89.13	$134.90	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,202.26	Facility		$602.56	$794.33	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $194.98	Professional		$165.96	$194.98	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $42.66 / $42.66	Professional	26	$36.31	$42.66	$42.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $208.93	Professional	TC	$177.83	$177.83	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $436.52	Professional		$131.83	$223.87	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.90 / $75.86	Professional	26	$18.20	$30.90	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $181.97 / $338.84	Professional	TC	$109.65	$181.97	$338.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $436.52	Professional		$123.03	$125.89	$436.52
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.44 / $75.86	Professional	26	$20.89	$23.44	$75.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $102.33 / $165.96	Professional	TC	$102.33	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $309.03	Professional		$117.49	$173.78	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.90 / $50.12	Professional	26	$21.38	$30.90	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $144.54 / $229.09	Professional	TC	$95.50	$144.54	$229.09