Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $347.77 / $373.78	Professional		$282.66	$347.77	$373.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $63.00 / $73.29	Professional	26	$53.67	$63.00	$73.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $228.97 / $285.08 / $300.48	Professional	TC	$228.97	$285.08	$300.48
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $363.82 / $363.82 / $363.82	Facility	26	$363.82	$363.82	$363.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $735.66 / $1,599.00	Professional		$268.61	$735.66	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.09 / $78.09 / $232.42	Professional	26	$78.09	$78.09	$232.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.95 / $183.95 / $216.84	Professional	TC	$183.95	$183.95	$216.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.74 / $444.40 / $735.66	Professional		$254.74	$444.40	$735.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.59 / $86.31 / $232.42	Professional	26	$76.59	$86.31	$232.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.88 / $229.83 / $599.72	Professional	TC	$172.88	$229.83	$599.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.74 / $441.66 / $735.66	Professional		$254.74	$441.66	$735.66
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $80.61 / $86.31 / $232.42	Professional	26	$80.61	$86.31	$232.42
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $172.88 / $229.83 / $377.51	Professional	TC	$172.88	$229.83	$377.51
United Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $401.78 / $782.55	Professional		$193.39	$401.78	$782.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $88.36 / $247.23	Professional	26	$60.69	$88.36	$247.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.33 / $274.85 / $535.32	Professional	TC	$135.33	$274.85	$535.32