Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $3,467.37	Professional		$426.58	$602.56	$3,467.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $165.96 / $512.86	Professional	26	$109.65	$165.96	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $436.52 / $1,023.29	Professional	TC	$263.03	$436.52	$1,023.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,089.30	Professional		$870.96	$870.96	$2,089.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $141.25 / $446.68	Professional	26	$141.25	$141.25	$446.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $724.44 / $724.44 / $851.14	Professional	TC	$724.44	$724.44	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $2,089.30	Professional		$660.69	$1,258.93	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $158.49 / $338.84	Professional	26	$138.04	$158.49	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $1,071.52 / $1,778.28	Professional	TC	$512.86	$1,071.52	$1,778.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $2,089.30	Professional		$602.56	$602.56	$2,089.30
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $446.68	Professional	26	$112.20	$112.20	$446.68
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,862.09	Professional		$549.54	$1,096.48	$1,862.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $147.91 / $363.08	Professional	26	$109.65	$147.91	$363.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $776.25 / $1,659.59	Professional	TC	$436.52	$776.25	$1,659.59