Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.19 / $1,099.00 / $1,181.83	Professional		$562.19	$1,099.00	$1,181.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $690.90 / $1,181.83	Professional		$399.77	$690.90	$1,181.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.66 / $103.16 / $292.70	Professional	26	$91.66	$103.16	$292.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $296.62 / $340.48 / $922.36	Professional	TC	$296.62	$340.48	$922.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $657.66 / $1,181.83	Professional		$399.77	$657.66	$1,181.83
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $95.21 / $103.16 / $292.70	Professional	26	$95.21	$103.16	$292.70
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $296.62 / $340.48 / $587.00	Professional	TC	$296.62	$340.48	$587.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $645.46 / $1,257.17	Professional		$313.26	$645.46	$1,257.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.50 / $104.64 / $311.36	Professional	26	$72.50	$104.64	$311.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.47 / $460.40 / $945.81	Professional	TC	$237.47	$460.40	$945.81