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 $525.10 / $525.10 / $525.10	Facility	26	$525.10	$525.10	$525.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.16 / $904.09 / $1,533.85	Professional		$839.16	$904.09	$1,533.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.98 / $133.16 / $358.74	Professional	26	$112.98	$133.16	$358.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $716.26 / $716.26 / $737.75	Professional	TC	$716.26	$716.26	$737.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $884.26 / $1,533.85	Professional		$527.91	$884.26	$1,533.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.83 / $126.21 / $358.74	Professional	26	$111.83	$126.21	$358.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $401.70 / $680.92 / $1,956.92	Professional	TC	$401.70	$680.92	$1,956.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $884.26 / $1,533.85	Professional		$527.91	$884.26	$1,533.85
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $116.61 / $126.21 / $358.74	Professional	26	$116.61	$126.21	$358.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $401.70 / $680.92 / $1,184.49	Professional	TC	$401.70	$680.92	$1,184.49
United Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $885.69 / $1,631.61	Professional		$395.90	$885.69	$1,631.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.78 / $138.03 / $381.60	Professional	26	$87.78	$138.03	$381.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.51 / $641.78 / $1,250.01	Professional	TC	$303.51	$641.78	$1,250.01