Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $812.83	Professional		$363.08	$478.63	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $165.96	Professional	26	$70.79	$125.89	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $707.95	Professional	TC	$263.03	$338.84	$707.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,479.11	Professional		$562.34	$562.34	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $295.12	Professional	26	$112.20	$112.20	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $457.09 / $512.86	Professional	TC	$457.09	$457.09	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,096.48 / $2,290.87	Professional		$446.68	$1,096.48	$2,290.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $269.15	Professional	26	$89.13	$125.89	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $870.96 / $2,041.74	Professional	TC	$354.81	$870.96	$2,041.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,479.11	Professional		$616.60	$616.60	$1,479.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $295.12	Professional	26	$91.20	$91.20	$295.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	TC	$524.81	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $1,548.82	Professional		$363.08	$794.33	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $239.88	Professional	26	$72.44	$104.71	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $602.56 / $1,258.93	Professional	TC	$295.12	$602.56	$1,258.93