Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.88 / $474.59 / $510.42	Professional		$385.88	$474.59	$510.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $88.35 / $103.31	Professional	26	$75.65	$88.35	$103.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $310.24 / $386.24 / $407.11	Professional	TC	$310.24	$386.24	$407.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $514.47 / $514.47 / $514.47	Facility	26	$514.47	$514.47	$514.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.34 / $406.34 / $1,219.35	Professional		$406.34	$406.34	$1,219.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.73 / $109.73 / $348.71	Professional	26	$109.73	$109.73	$348.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $287.87 / $287.87 / $339.34	Professional	TC	$287.87	$287.87	$339.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.48 / $672.18 / $1,219.35	Professional		$388.48	$672.18	$1,219.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.87 / $122.67 / $348.71	Professional	26	$108.87	$122.67	$348.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.12 / $299.64 / $850.60	Professional	TC	$275.12	$299.64	$850.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $388.48 / $672.18 / $1,219.35	Professional		$388.48	$672.18	$1,219.35
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $113.36 / $122.67 / $348.71	Professional	26	$113.36	$122.67	$348.71
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $275.12 / $299.64 / $755.06	Professional	TC	$275.12	$299.64	$755.06
United Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $631.39 / $1,130.84	Professional		$331.49	$631.39	$1,130.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.29 / $123.66 / $370.94	Professional	26	$85.29	$123.66	$370.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.85 / $475.50 / $926.14	Professional	TC	$211.85	$475.50	$926.14