Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $663.00 / $663.00 / $663.00	Facility	26	$663.00	$663.00	$663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.44 / $1,027.24 / $2,111.59	Professional		$871.44	$1,027.24	$2,111.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.81 / $167.16 / $450.53	Professional	26	$141.81	$167.16	$450.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $716.26 / $716.26 / $844.32	Professional	TC	$716.26	$716.26	$844.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.86 / $1,257.77 / $2,111.59	Professional		$715.86	$1,257.77	$2,111.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.30 / $158.94 / $450.53	Professional	26	$140.30	$158.94	$450.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $556.91 / $643.20 / $1,786.14	Professional	TC	$556.91	$643.20	$1,786.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $715.86 / $1,201.84 / $2,111.59	Professional		$715.86	$1,201.84	$2,111.59
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $146.12 / $158.94 / $450.53	Professional	26	$146.12	$158.94	$450.53
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $556.91 / $643.20 / $1,130.60	Professional	TC	$556.91	$643.20	$1,130.60
United Facility/Professional Professional Modifier Low / Median / High Price $618.51 / $1,153.24 / $2,116.05	Professional		$618.51	$1,153.24	$2,116.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.24 / $151.76 / $426.19	Professional	26	$110.24	$151.76	$426.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $438.74 / $907.18 / $1,766.93	Professional	TC	$438.74	$907.18	$1,766.93