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 $302.87 / $957.21 / $1,099.00	Professional		$302.87	$957.21	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $85.93 / $239.57	Professional	26	$75.09	$85.93	$239.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $227.78 / $227.78 / $260.69	Professional	TC	$227.78	$227.78	$260.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.11 / $558.41 / $957.21	Professional		$330.11	$558.41	$957.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $84.39 / $239.57	Professional	26	$74.09	$84.39	$239.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.72 / $422.59 / $1,285.56	Professional	TC	$245.72	$422.59	$1,285.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.11 / $558.41 / $957.21	Professional		$330.11	$558.41	$957.21
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $78.30 / $84.39 / $239.57	Professional	26	$78.30	$84.39	$239.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $245.72 / $422.59 / $722.35	Professional	TC	$245.72	$422.59	$722.35
United Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $522.77 / $1,018.22	Professional		$250.10	$522.77	$1,018.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $85.32 / $254.84	Professional	26	$58.63	$85.32	$254.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.39 / $391.93 / $763.38	Professional	TC	$188.39	$391.93	$763.38