Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $294.52 / $373.78	Professional		$237.07	$294.52	$373.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $61.64 / $72.06	Professional	26	$52.78	$61.64	$72.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.49 / $238.88 / $301.70	Professional	TC	$175.49	$238.88	$301.70
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 $237.29 / $749.33 / $1,599.00	Professional		$237.29	$749.33	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.70 / $87.79 / $243.25	Professional	26	$76.70	$87.79	$243.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.58 / $160.58 / $183.77	Professional	TC	$160.58	$160.58	$183.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $446.04 / $749.33	Professional		$259.56	$446.04	$749.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.61 / $85.67 / $243.25	Professional	26	$75.61	$85.67	$243.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.89 / $231.89 / $600.62	Professional	TC	$173.89	$231.89	$600.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $441.17 / $749.33	Professional		$259.56	$441.17	$749.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $79.22 / $85.67 / $243.25	Professional	26	$79.22	$85.67	$243.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $173.89 / $231.89 / $378.07	Professional	TC	$173.89	$231.89	$378.07
United Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $409.24 / $797.09	Professional		$199.94	$409.24	$797.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.35 / $94.13 / $231.23	Professional	26	$59.35	$94.13	$231.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $276.39 / $538.34	Professional	TC	$137.50	$276.39	$538.34