Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.48 / $427.97 / $459.15	Professional		$347.48	$427.97	$459.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $69.73 / $81.04	Professional	26	$59.34	$69.73	$81.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.12 / $358.73 / $378.11	Professional	TC	$288.12	$358.73	$378.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $404.21 / $404.21 / $404.21	Facility	26	$404.21	$404.21	$404.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.91 / $347.81 / $868.62	Professional		$303.91	$347.81	$868.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.47 / $98.96 / $248.20	Professional	26	$86.47	$98.96	$248.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.44 / $217.44 / $248.85	Professional	TC	$217.44	$217.44	$248.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.38 / $526.21 / $868.62	Professional		$299.38	$526.21	$868.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.86 / $95.48 / $248.20	Professional	26	$85.86	$95.48	$248.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.69 / $284.00 / $756.53	Professional	TC	$211.69	$284.00	$756.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $299.38 / $526.21 / $868.62	Professional		$299.38	$526.21	$868.62
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.70 / $95.48 / $248.20	Professional	26	$87.70	$95.48	$248.20
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $211.69 / $284.00 / $476.21	Professional	TC	$211.69	$284.00	$476.21
United Facility/Professional Professional Modifier Low / Median / High Price $259.24 / $449.78 / $885.30	Professional		$259.24	$449.78	$885.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $97.47 / $264.02	Professional	26	$66.84	$97.47	$264.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.30 / $327.70 / $624.22	Professional	TC	$165.30	$327.70	$624.22