Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $436.52	Professional		$181.97	$275.42	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $213.80	Professional	26	$56.23	$72.44	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $173.78 / $295.12	Professional	TC	$125.89	$173.78	$295.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $1,584.89	Professional		$234.42	$234.42	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $239.88	Professional	26	$75.86	$75.86	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $158.49 / $181.97	Professional	TC	$158.49	$158.49	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $446.68 / $758.58	Professional		$229.09	$446.68	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $181.97	Professional	26	$74.13	$85.11	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $354.81 / $660.69	Professional	TC	$154.88	$354.81	$660.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $741.31	Professional		$239.88	$239.88	$741.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $239.88	Professional	26	$61.66	$61.66	$239.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $602.56	Professional		$194.98	$389.05	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $194.98	Professional	26	$58.88	$79.43	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $257.04 / $478.63	Professional	TC	$131.83	$257.04	$478.63