Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.16 / $345.42 / $372.13	Professional		$281.16	$345.42	$372.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $70.11 / $81.04	Professional	26	$59.34	$70.11	$81.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.81 / $276.17 / $291.08	Professional	TC	$221.81	$276.17	$291.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $404.21 / $404.21 / $404.21	Facility	26	$404.21	$404.21	$404.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.12 / $815.11 / $1,599.00	Professional		$352.12	$815.11	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.47 / $86.47 / $276.16	Professional	26	$86.47	$86.47	$276.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.64 / $265.64 / $299.64	Professional	TC	$265.64	$265.64	$299.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $432.27 / $815.11	Professional		$269.04	$432.27	$815.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.86 / $96.81 / $276.16	Professional	26	$85.86	$96.81	$276.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.36 / $228.85 / $574.48	Professional	TC	$179.36	$228.85	$574.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $431.88 / $815.11	Professional		$269.04	$431.88	$815.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $89.68 / $96.81 / $276.16	Professional	26	$89.68	$96.81	$276.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $179.36 / $228.85 / $357.05	Professional	TC	$179.36	$228.85	$357.05
United Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $422.07 / $867.06	Professional		$205.71	$422.07	$867.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.20 / $97.97 / $293.76	Professional	26	$67.20	$97.97	$293.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.97 / $279.07 / $509.62	Professional	TC	$134.97	$279.07	$509.62