Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $814.05 / $970.00	Facility		$98.83	$814.05	$970.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $1,112.58 / $1,112.58 / $1,112.58	Facility	TC	$1,112.58	$1,112.58	$1,112.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $130.50 / $544.00	Professional		$22.69	$130.50	$544.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $24.78 / $101.00	Professional	26	$20.83	$24.78	$101.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.81 / $108.11 / $243.09	Professional	TC	$101.81	$108.11	$243.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.24 / $635.21 / $1,494.52	Facility		$603.24	$635.21	$1,494.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $196.72 / $440.22	Professional		$166.88	$196.72	$440.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $42.70 / $75.97	Professional	26	$36.22	$42.70	$75.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.82 / $176.82 / $208.43	Professional	TC	$176.82	$176.82	$208.43
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 $132.56 / $219.64 / $440.22	Professional		$132.56	$219.64	$440.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $30.80 / $75.97	Professional	26	$22.98	$30.80	$75.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.90 / $180.45 / $274.11	Professional	TC	$108.90	$180.45	$274.11
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 $132.56 / $209.85 / $440.22	Professional		$132.56	$209.85	$440.22
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $30.80 / $75.97	Professional	26	$22.98	$30.80	$75.97
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $108.90 / $159.65 / $227.51	Professional	TC	$108.90	$159.65	$227.51
United Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $218.13 / $506.30	Professional		$122.90	$218.13	$506.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $31.26 / $90.89	Professional	26	$22.74	$31.26	$90.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.46 / $184.54 / $415.41	Professional	TC	$100.46	$184.54	$415.41