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 $351.14 / $351.14 / $351.14	Facility	26	$351.14	$351.14	$351.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.20 / $336.20 / $1,099.00	Professional		$336.20	$336.20	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.54 / $75.54 / $239.57	Professional	26	$75.54	$75.54	$239.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.96 / $254.96 / $300.54	Professional	TC	$254.96	$254.96	$300.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $555.99 / $955.77	Professional		$329.10	$555.99	$955.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.61 / $83.89 / $239.57	Professional	26	$74.61	$83.89	$239.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.21 / $420.97 / $1,289.16	Professional	TC	$245.21	$420.97	$1,289.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $555.99 / $955.77	Professional		$329.10	$555.99	$955.77
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $77.83 / $83.89 / $239.57	Professional	26	$77.83	$83.89	$239.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $245.21 / $420.97 / $724.35	Professional	TC	$245.21	$420.97	$724.35
United Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $556.74 / $935.36	Professional		$249.02	$556.74	$935.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $84.80 / $254.84	Professional	26	$58.28	$84.80	$254.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.19 / $391.15 / $762.23	Professional	TC	$183.19	$391.15	$762.23