Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $1,023.29	Professional		$186.21	$316.23	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $229.09	Professional	26	$61.66	$107.15	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $251.19 / $977.24	Professional	TC	$134.90	$251.19	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $1,584.89	Professional		$354.81	$416.87	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $102.33 / $275.42	Professional	26	$87.10	$102.33	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $263.03 / $302.00	Professional	TC	$263.03	$263.03	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $812.83	Professional		$251.19	$436.52	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $204.17	Professional	26	$85.11	$97.72	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $338.84 / $645.65	Professional	TC	$165.96	$338.84	$645.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $812.83	Professional		$245.47	$245.47	$812.83
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $275.42	Professional	26	$69.18	$69.18	$275.42
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $645.65	Professional		$199.53	$407.38	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $223.87	Professional	26	$67.61	$89.13	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $245.47 / $426.58	Professional	TC	$131.83	$245.47	$426.58