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 $405.86 / $1,217.92 / $1,599.00	Professional		$405.86	$1,217.92	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.73 / $129.35 / $348.71	Professional	26	$109.73	$129.35	$348.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $287.38 / $287.38 / $287.38	Professional	TC	$287.38	$287.38	$287.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.53 / $671.37 / $1,217.92	Professional		$387.53	$671.37	$1,217.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.38 / $122.67 / $348.71	Professional	26	$109.38	$122.67	$348.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.17 / $299.14 / $852.30	Professional	TC	$274.17	$299.14	$852.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $387.53 / $671.37 / $1,217.92	Professional		$387.53	$671.37	$1,217.92
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 $274.17 / $299.14 / $758.56	Professional	TC	$274.17	$299.14	$758.56
United Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $665.16 / $1,295.55	Professional		$300.99	$665.16	$1,295.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.63 / $123.66 / $370.94	Professional	26	$85.63	$123.66	$370.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.49 / $474.71 / $924.61	Professional	TC	$211.49	$474.71	$924.61