Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $293.87 / $372.96	Professional		$236.70	$293.87	$372.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.24 / $71.66	Professional	26	$52.46	$61.24	$71.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.12 / $238.55 / $301.30	Professional	TC	$175.12	$238.55	$301.30
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $357.47 / $357.47 / $357.47	Facility	26	$357.47	$357.47	$357.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.19 / $744.25 / $1,599.00	Professional		$236.19	$744.25	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $87.53 / $242.44	Professional	26	$76.48	$87.53	$242.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $159.69 / $182.76	Professional	TC	$159.69	$159.69	$182.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $442.80 / $744.25	Professional		$257.27	$442.80	$744.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $85.41 / $242.44	Professional	26	$75.09	$85.41	$242.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.87 / $231.31 / $600.62	Professional	TC	$171.87	$231.31	$600.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $440.69 / $744.25	Professional		$257.27	$440.69	$744.25
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $79.22 / $85.41 / $242.44	Professional	26	$79.22	$85.41	$242.44
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $171.87 / $231.31 / $378.07	Professional	TC	$171.87	$231.31	$378.07
United Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $406.47 / $744.94	Professional		$192.69	$406.47	$744.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.81 / $86.32 / $231.23	Professional	26	$59.81	$86.32	$231.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.05 / $274.06 / $533.79	Professional	TC	$136.05	$274.06	$533.79