Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $512.86	Professional		$177.83	$288.40	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $208.93	Professional	26	$57.54	$74.13	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $158.49 / $295.12	Professional	TC	$114.82	$158.49	$295.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,584.89	Professional		$263.03	$263.03	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $251.19	Professional	26	$79.43	$79.43	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $208.93	Professional	TC	$173.78	$173.78	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $758.58	Professional		$234.42	$436.52	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $89.13 / $190.55	Professional	26	$77.62	$89.13	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $354.81 / $588.84	Professional	TC	$158.49	$354.81	$588.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $758.58	Professional		$204.17	$204.17	$758.58
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $251.19	Professional	26	$64.57	$64.57	$251.19
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	TC	$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $616.60	Professional		$190.55	$398.11	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $204.17	Professional	26	$61.66	$83.18	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $257.04 / $478.63	Professional	TC	$125.89	$257.04	$478.63