Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.22 / $353.25 / $379.90	Professional		$287.22	$353.25	$379.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $65.43 / $76.56	Professional	26	$56.06	$65.43	$76.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.15 / $287.80 / $303.33	Professional	TC	$231.15	$287.80	$303.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $380.84 / $380.84 / $380.84	Facility	26	$380.84	$380.84	$380.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $670.56 / $1,599.00	Professional		$246.58	$670.56	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.83 / $93.64 / $225.27	Professional	26	$81.83	$93.64	$225.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $164.75 / $164.75 / $188.55	Professional	TC	$164.75	$164.75	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.88 / $378.33 / $670.56	Professional		$221.88	$378.33	$670.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.92 / $84.26 / $225.27	Professional	26	$72.92	$84.26	$225.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.96 / $153.99 / $456.58	Professional	TC	$148.96	$153.99	$456.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $221.88 / $378.33 / $670.56	Professional		$221.88	$378.33	$670.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $72.92 / $84.26 / $225.27	Professional	26	$72.92	$84.26	$225.27
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $148.96 / $153.99 / $370.04	Professional	TC	$148.96	$153.99	$370.04
United Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $366.22 / $713.30	Professional		$169.62	$366.22	$713.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $85.30 / $239.63	Professional	26	$57.74	$85.30	$239.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.24 / $243.19 / $422.33	Professional	TC	$109.24	$243.19	$422.33