Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $346.44 / $372.55	Professional		$281.67	$346.44	$372.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $64.37 / $74.92	Professional	26	$54.86	$64.37	$74.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.80 / $282.38 / $297.62	Professional	TC	$226.80	$282.38	$297.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $372.34 / $372.34 / $372.34	Facility	26	$372.34	$372.34	$372.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.70 / $766.50 / $1,599.00	Professional		$261.70	$766.50	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.97 / $94.27 / $253.27	Professional	26	$79.97	$94.27	$253.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.61 / $175.61 / $175.61	Professional	TC	$175.61	$175.61	$175.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $433.03 / $766.50	Professional		$253.75	$433.03	$766.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.92 / $89.21 / $253.27	Professional	26	$78.92	$89.21	$253.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.28 / $176.59 / $507.15	Professional	TC	$171.28	$176.59	$507.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $433.03 / $766.50	Professional		$253.75	$433.03	$766.50
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $82.46 / $89.21 / $253.27	Professional	26	$82.46	$89.21	$253.27
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $171.28 / $176.59 / $374.67	Professional	TC	$171.28	$176.59	$374.67
United Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $396.90 / $728.51	Professional		$213.58	$396.90	$728.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $89.87 / $240.71	Professional	26	$62.26	$89.87	$240.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.19 / $280.30 / $545.94	Professional	TC	$129.19	$280.30	$545.94