Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.57 / $366.88 / $1,008.77	Professional		$320.57	$366.88	$1,008.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.74 / $581.13 / $1,008.77	Professional		$347.74	$581.13	$1,008.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.61 / $83.89 / $238.17	Professional	26	$74.61	$83.89	$238.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.86 / $446.11 / $1,267.53	Professional	TC	$263.86	$446.11	$1,267.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $347.74 / $581.13 / $1,008.77	Professional		$347.74	$581.13	$1,008.77
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $77.83 / $83.89 / $238.17	Professional	26	$77.83	$83.89	$238.17
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $263.86 / $446.11 / $720.85	Professional	TC	$263.86	$446.11	$720.85
United Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $550.94 / $977.66	Professional		$252.89	$550.94	$977.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $84.80 / $253.35	Professional	26	$58.28	$84.80	$253.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.86 / $420.86 / $819.72	Professional	TC	$198.86	$420.86	$819.72