Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $562.34	Professional		$218.78	$338.84	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $251.19	Professional	26	$64.57	$91.20	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $213.80 / $371.54	Professional	TC	$162.18	$213.80	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,584.89	Professional		$426.58	$426.58	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $323.59	Professional	26	$97.72	$97.72	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $331.13 / $371.54	Professional	TC	$331.13	$331.13	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $977.24	Professional		$302.00	$524.81	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $109.65 / $239.88	Professional	26	$89.13	$109.65	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $426.58 / $812.83	Professional	TC	$204.17	$426.58	$812.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $977.24	Professional		$295.12	$295.12	$977.24
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $323.59	Professional	26	$72.44	$72.44	$323.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $776.25	Professional		$239.88	$489.78	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $257.04	Professional	26	$79.43	$97.72	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $309.03 / $524.81	Professional	TC	$162.18	$309.03	$524.81