Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $1,000.00	Professional		$134.90	$263.03	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $173.78	Professional	26	$45.71	$58.88	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $181.97 / $812.83	Professional	TC	$91.20	$181.97	$812.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $1,096.48	Professional		$218.78	$257.04	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $213.80	Professional	26	$66.07	$66.07	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $138.04 / $162.18	Professional	TC	$138.04	$138.04	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $630.96	Professional		$177.83	$371.54	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $79.43 / $158.49	Professional	26	$66.07	$79.43	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $275.42 / $512.86	Professional	TC	$112.20	$275.42	$512.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $588.84	Professional		$194.98	$194.98	$588.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $213.80	Professional	26	$51.29	$51.29	$213.80
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	TC	$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $512.86	Professional		$154.88	$302.00	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $173.78	Professional	26	$56.23	$75.86	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $190.55 / $398.11	Professional	TC	$100.00	$190.55	$398.11