Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,318.26	Professional		$302.00	$478.63	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $141.25 / $380.19	Professional	26	$95.50	$141.25	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $338.84 / $501.19	Professional	TC	$213.80	$338.84	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,230.27	Professional		$416.87	$416.87	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $354.81	Professional	26	$120.23	$120.23	$354.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $302.00 / $346.74	Professional	TC	$302.00	$302.00	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $831.76 / $1,412.54	Professional		$380.19	$831.76	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $128.82 / $288.40	Professional	26	$109.65	$128.82	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $630.96 / $1,174.90	Professional	TC	$269.15	$630.96	$1,174.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,230.27	Professional		$338.84	$338.84	$1,230.27
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $354.81	Professional	26	$89.13	$89.13	$354.81
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $245.47 / $245.47	Professional	TC	$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $1,096.48	Professional		$309.03	$630.96	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $288.40	Professional	26	$87.10	$125.89	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $446.68 / $912.01	Professional	TC	$223.87	$446.68	$912.01