Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.33 / $293.87 / $372.96	Professional		$236.33	$293.87	$372.96
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 $174.75 / $238.23 / $300.89	Professional	TC	$174.75	$238.23	$300.89
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 / $745.69 / $1,599.00	Professional		$236.19	$745.69	$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 / $159.69	Professional	TC	$159.69	$159.69	$159.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $443.61 / $745.69	Professional		$258.29	$443.61	$745.69
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 $172.88 / $230.82 / $599.72	Professional	TC	$172.88	$230.82	$599.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $440.69 / $745.69	Professional		$258.29	$440.69	$745.69
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 $172.88 / $230.82 / $377.51	Professional	TC	$172.88	$230.82	$377.51
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $407.25 / $793.22	Professional		$198.85	$407.25	$793.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.35 / $86.33 / $257.89	Professional	26	$59.35	$86.33	$257.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $274.83 / $535.32	Professional	TC	$136.41	$274.83	$535.32