Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $426.47 / $426.47 / $426.47	Facility	26	$426.47	$426.47	$426.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.69 / $669.19 / $1,512.10	Professional		$567.69	$669.19	$1,512.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $107.96 / $291.26	Professional	26	$91.58	$107.96	$291.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.87 / $467.87 / $551.52	Professional	TC	$467.87	$467.87	$551.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $798.14 / $1,512.10	Professional		$511.65	$798.14	$1,512.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.32 / $102.65 / $291.26	Professional	26	$90.32	$102.65	$291.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $409.00 / $470.50 / $1,181.01	Professional	TC	$409.00	$470.50	$1,181.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $767.84 / $1,512.10	Professional		$511.65	$767.84	$1,512.10
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $94.77 / $102.65 / $291.26	Professional	26	$94.77	$102.65	$291.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $409.00 / $470.50 / $736.35	Professional	TC	$409.00	$470.50	$736.35
United Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $782.97 / $1,608.48	Professional		$402.76	$782.97	$1,608.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $103.63 / $309.83	Professional	26	$71.31	$103.63	$309.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.69 / $639.41 / $1,298.65	Professional	TC	$327.69	$639.41	$1,298.65