Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $457.09	Professional		$213.80	$281.84	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $234.42	Professional	26	$58.88	$77.62	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $213.80 / $371.54	Professional	TC	$154.88	$213.80	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $870.96	Professional		$302.00	$302.00	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $245.47	Professional	26	$87.10	$87.10	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $251.19	Professional	TC	$218.78	$218.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $933.25	Professional		$269.15	$549.54	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $204.17	Professional	26	$75.86	$95.50	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $436.52 / $812.83	Professional	TC	$190.55	$436.52	$812.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $870.96	Professional		$295.12	$295.12	$870.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $245.47	Professional	26	$69.18	$69.18	$245.47
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $446.68 / $724.44	Professional		$229.09	$446.68	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $199.53	Professional	26	$67.61	$89.13	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $323.59 / $602.56	Professional	TC	$162.18	$323.59	$602.56