Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.37 / $409.21 / $439.34	Professional		$332.37	$409.21	$439.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.50 / $69.47 / $81.26	Professional	26	$59.50	$69.47	$81.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $339.73 / $358.09	Professional	TC	$272.87	$339.73	$358.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $403.09 / $403.09 / $403.09	Facility	26	$403.09	$403.09	$403.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.65 / $798.53 / $1,599.00	Professional		$370.65	$798.53	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.47 / $101.93 / $225.27	Professional	26	$86.47	$101.93	$225.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $279.61 / $279.61 / $315.41	Professional	TC	$279.61	$279.61	$315.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $500.73 / $798.53	Professional		$275.39	$500.73	$798.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.33 / $95.48 / $225.27	Professional	26	$79.33	$95.48	$225.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.06 / $285.72 / $697.95	Professional	TC	$196.06	$285.72	$697.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $481.72 / $798.53	Professional		$275.39	$481.72	$798.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $79.33 / $95.48 / $225.27	Professional	26	$79.33	$95.48	$225.27
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $196.06 / $285.72 / $428.97	Professional	TC	$196.06	$285.72	$428.97
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $433.12 / $849.42	Professional		$227.00	$433.12	$849.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $90.05 / $239.63	Professional	26	$57.74	$90.05	$239.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.74 / $296.83 / $609.79	Professional	TC	$159.74	$296.83	$609.79