Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $394.65 / $394.65 / $394.65	Facility	26	$394.65	$394.65	$394.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.56 / $1,006.62 / $1,099.00	Professional		$321.56	$1,006.62	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.62 / $96.84 / $267.57	Professional	26	$84.62	$96.84	$267.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.94 / $236.94 / $271.17	Professional	TC	$236.94	$236.94	$271.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.77 / $591.57 / $1,006.62	Professional		$344.77	$591.57	$1,006.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.37 / $94.28 / $267.57	Professional	26	$83.37	$94.28	$267.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.49 / $402.53 / $968.01	Professional	TC	$250.49	$402.53	$968.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $344.77 / $591.57 / $1,006.62	Professional		$344.77	$591.57	$1,006.62
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.36 / $94.28 / $267.57	Professional	26	$87.36	$94.28	$267.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $250.49 / $402.53 / $656.44	Professional	TC	$250.49	$402.53	$656.44
United Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $521.23 / $995.25	Professional		$281.39	$521.23	$995.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.78 / $103.25 / $254.29	Professional	26	$65.78	$103.25	$254.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.33 / $403.63 / $786.15	Professional	TC	$196.33	$403.63	$786.15