Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $1,737.80	Professional		$251.19	$489.78	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $141.25 / $263.03	Professional	26	$66.07	$141.25	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $338.84 / $977.24	Professional	TC	$173.78	$338.84	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $851.14	Professional		$288.40	$288.40	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $295.12	Professional	26	$100.00	$100.00	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $190.55 / $218.78	Professional	TC	$190.55	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $1,148.15	Professional		$257.04	$630.96	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $107.15 / $239.88	Professional	26	$89.13	$107.15	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $407.38 / $977.24	Professional	TC	$169.82	$407.38	$977.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $851.14	Professional		$245.47	$245.47	$851.14
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $295.12	Professional	26	$74.13	$74.13	$295.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	TC	$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $891.25	Professional		$213.80	$457.09	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $239.88	Professional	26	$72.44	$104.71	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $281.84 / $676.08	Professional	TC	$141.25	$281.84	$676.08