Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $482.75 / $520.01	Professional		$392.89	$482.75	$520.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.98 / $96.89 / $113.31	Professional	26	$82.98	$96.89	$113.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.93 / $385.85 / $406.70	Professional	TC	$309.93	$385.85	$406.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $562.23 / $562.23 / $562.23	Facility	26	$562.23	$562.23	$562.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.13 / $1,242.25 / $1,599.00	Professional		$587.13	$1,242.25	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.65 / $120.65 / $361.61	Professional	26	$120.65	$120.65	$361.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $455.54 / $455.54 / $513.86	Professional	TC	$455.54	$455.54	$513.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.86 / $686.73 / $1,242.25	Professional		$397.86	$686.73	$1,242.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.00 / $127.75 / $361.61	Professional	26	$118.00	$127.75	$361.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.87 / $302.66 / $860.40	Professional	TC	$279.87	$302.66	$860.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $397.86 / $662.64 / $1,242.25	Professional		$397.86	$662.64	$1,242.25
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $118.00 / $127.75 / $361.61	Professional	26	$118.00	$127.75	$361.61
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $279.87 / $302.66 / $609.19	Professional	TC	$279.87	$302.66	$609.19
United Facility/Professional Professional Modifier Low / Median / High Price $338.62 / $678.45 / $1,155.33	Professional		$338.62	$678.45	$1,155.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.11 / $129.47 / $384.66	Professional	26	$93.11	$129.47	$384.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.73 / $456.00 / $936.77	Professional	TC	$214.73	$456.00	$936.77