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 $533.54 / $533.54 / $533.54	Facility	26	$533.54	$533.54	$533.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.04 / $779.21 / $1,483.80	Professional		$661.04	$779.21	$1,483.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.90 / $134.27 / $357.30	Professional	26	$113.90	$134.27	$357.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $553.20 / $553.20 / $624.02	Professional	TC	$553.20	$553.20	$624.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.27 / $789.82 / $1,483.80	Professional		$508.27	$789.82	$1,483.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.85 / $125.71 / $357.30	Professional	26	$112.85	$125.71	$357.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $382.55 / $424.20 / $1,212.68	Professional	TC	$382.55	$424.20	$1,212.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $508.27 / $783.20 / $1,483.80	Professional		$508.27	$783.20	$1,483.80
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $116.31 / $125.71 / $357.30	Professional	26	$116.31	$125.71	$357.30
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $382.55 / $424.20 / $694.38	Professional	TC	$382.55	$424.20	$694.38
United Facility/Professional Professional Modifier Low / Median / High Price $390.13 / $768.32 / $1,578.38	Professional		$390.13	$768.32	$1,578.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.42 / $126.69 / $339.34	Professional	26	$88.42	$126.69	$339.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.45 / $615.23 / $1,198.31	Professional	TC	$298.45	$615.23	$1,198.31