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 Facility Modifier 26 Low / Median / High Price $526.12 / $526.12 / $526.12	Facility	26	$526.12	$526.12	$526.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.28 / $646.92 / $1,463.54	Professional		$565.28	$646.92	$1,463.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.98 / $129.30 / $294.14	Professional	26	$112.98	$129.30	$294.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $452.30 / $452.30 / $452.30	Professional	TC	$452.30	$452.30	$452.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.85 / $843.45 / $1,463.54	Professional		$503.85	$843.45	$1,463.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.69 / $124.63 / $294.14	Professional	26	$95.69	$124.63	$294.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $400.19 / $676.05 / $1,952.62	Professional	TC	$400.19	$676.05	$1,952.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $503.85 / $843.45 / $1,463.54	Professional		$503.85	$843.45	$1,463.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $95.69 / $124.63 / $294.14	Professional	26	$95.69	$124.63	$294.14
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $400.19 / $676.05 / $1,184.49	Professional	TC	$400.19	$676.05	$1,184.49
United Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $799.31 / $1,556.82	Professional		$377.50	$799.31	$1,556.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $120.98 / $312.89	Professional	26	$76.15	$120.98	$312.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.35 / $638.66 / $1,265.48	Professional	TC	$301.35	$638.66	$1,265.48