Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $912.01	Professional		$269.15	$478.63	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $125.89 / $186.21	Professional	26	$79.43	$125.89	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $338.84 / $512.86	Professional	TC	$194.98	$338.84	$512.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $354.81	Professional		$316.23	$316.23	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $295.12	Professional	26	$85.11	$85.11	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $263.03	Professional	TC	$229.09	$229.09	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $776.25 / $1,513.56	Professional		$331.13	$776.25	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $223.87	Professional	26	$74.13	$97.72	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $588.84 / $1,380.38	Professional	TC	$245.47	$588.84	$1,380.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,096.48	Professional		$436.52	$436.52	$1,096.48
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $295.12	Professional	26	$60.26	$60.26	$295.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	TC	$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $912.01	Professional		$269.15	$575.44	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $91.20 / $239.88	Professional	26	$72.44	$91.20	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $407.38 / $831.76	Professional	TC	$199.53	$407.38	$831.76