Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $3,388.44	Professional		$371.54	$602.56	$3,388.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $162.18 / $512.86	Professional	26	$102.33	$162.18	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $436.52 / $1,288.25	Professional	TC	$263.03	$436.52	$1,288.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,513.56	Professional		$489.78	$489.78	$1,513.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $426.58	Professional	26	$134.90	$134.90	$426.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $398.11	Professional	TC	$346.74	$346.74	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $1,819.70	Professional		$467.74	$1,071.52	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $151.36 / $316.23	Professional	26	$128.82	$151.36	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $794.33 / $1,548.82	Professional	TC	$331.13	$794.33	$1,548.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,513.56	Professional		$512.86	$512.86	$1,513.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $426.58	Professional	26	$107.15	$107.15	$426.58
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $1,621.81	Professional		$380.19	$794.33	$1,621.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $346.74	Professional	26	$104.71	$141.25	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $562.34 / $1,202.26	Professional	TC	$281.84	$562.34	$1,202.26