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 $376.56 / $376.56 / $376.56	Facility	26	$376.56	$376.56	$376.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $661.38 / $1,099.00	Professional		$301.94	$661.38	$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 $221.52 / $221.52 / $231.80	Professional	TC	$221.52	$221.52	$231.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $361.75 / $661.38	Professional		$222.38	$361.75	$661.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.92 / $90.23 / $256.11	Professional	26	$79.92	$90.23	$256.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.56 / $177.14 / $461.83	Professional	TC	$138.56	$177.14	$461.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $360.18 / $661.38	Professional		$222.38	$360.18	$661.38
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $83.40 / $90.23 / $256.11	Professional	26	$83.40	$90.23	$256.11
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $138.85 / $177.14 / $287.88	Professional	TC	$138.85	$177.14	$287.88
United Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $342.46 / $626.21	Professional		$167.09	$342.46	$626.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.40 / $90.89 / $272.43	Professional	26	$62.40	$90.89	$272.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.01 / $209.85 / $431.10	Professional	TC	$99.01	$209.85	$431.10