Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $285.52 / $308.41	Professional		$232.78	$285.52	$308.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $64.70 / $75.33	Professional	26	$55.15	$64.70	$75.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $233.08	Professional	TC	$177.61	$221.14	$233.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $374.44 / $374.44 / $374.44	Facility	26	$374.44	$374.44	$374.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $698.52 / $1,099.00	Professional		$301.94	$698.52	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.44 / $94.81 / $256.11	Professional	26	$80.44	$94.81	$256.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.75 / $228.75 / $258.02	Professional	TC	$228.75	$228.75	$258.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $430.53 / $698.52	Professional		$242.44	$430.53	$698.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.41 / $90.23 / $256.11	Professional	26	$79.41	$90.23	$256.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.22 / $233.38 / $590.71	Professional	TC	$152.22	$233.38	$590.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $414.19 / $698.52	Professional		$242.44	$414.19	$698.52
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $82.92 / $90.23 / $256.11	Professional	26	$82.92	$90.23	$256.11
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $152.22 / $233.38 / $362.30	Professional	TC	$152.22	$233.38	$362.30
United Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $370.90 / $743.04	Professional		$203.55	$370.90	$743.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.05 / $90.37 / $242.06	Professional	26	$62.05	$90.37	$242.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.00 / $241.62 / $470.61	Professional	TC	$135.00	$241.62	$470.61