Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.08 / $149.08 / $149.08	Facility		$149.08	$149.08	$149.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.62 / $19.62 / $19.62	Facility	26	$19.62	$19.62	$19.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $149.08 / $149.08	Professional		$62.98	$149.08	$149.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $19.62 / $19.62	Professional	26	$17.98	$19.62	$19.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.81 / $129.46 / $129.46	Professional	TC	$44.81	$129.46	$129.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.73 / $1,217.73 / $1,477.05	Facility		$1,217.73	$1,217.73	$1,477.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $153.84 / $244.25	Professional		$134.43	$153.84	$244.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.26 / $42.64 / $66.47	Professional	26	$37.26	$42.64	$66.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.17 / $97.17 / $111.21	Professional	TC	$97.17	$97.17	$111.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $118.90 / $244.25	Professional		$52.51	$118.90	$244.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.85 / $25.87 / $66.47	Professional	26	$13.85	$25.87	$66.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $95.50 / $153.83	Professional	TC	$38.65	$95.50	$153.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $151.53 / $244.25	Professional		$90.21	$151.53	$244.25
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.05 / $25.94 / $42.41	Professional	26	$22.05	$25.94	$42.41
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $65.36 / $109.13 / $162.26	Professional	TC	$65.36	$109.13	$162.26
United Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $134.94 / $276.67	Professional		$95.17	$134.94	$276.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.57 / $26.64 / $51.28	Professional	26	$20.57	$26.64	$51.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.53 / $112.03 / $199.22	Professional	TC	$68.53	$112.03	$199.22