Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $1,000.00	Professional		$257.04	$426.58	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $288.40	Professional	26	$74.13	$100.00	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $281.84 / $467.74	Professional	TC	$165.96	$281.84	$467.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,584.89	Professional		$407.38	$407.38	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $346.74	Professional	26	$109.65	$109.65	$346.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $338.84	Professional	TC	$288.40	$288.40	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,584.89	Professional		$371.54	$812.83	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $123.03 / $263.03	Professional	26	$107.15	$123.03	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $645.65 / $1,348.96	Professional	TC	$263.03	$645.65	$1,348.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,230.27	Professional		$467.74	$467.74	$1,230.27
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $346.74	Professional	26	$87.10	$87.10	$346.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $380.19 / $380.19	Professional	TC	$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $977.24	Professional		$295.12	$630.96	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $114.82 / $281.84	Professional	26	$85.11	$114.82	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $446.68 / $831.76	Professional	TC	$204.17	$446.68	$831.76