Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $521.91 / $521.91 / $521.91	Facility	26	$521.91	$521.91	$521.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.91 / $1,099.00 / $1,202.09	Professional		$385.91	$1,099.00	$1,202.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $128.75 / $355.86	Professional	26	$112.50	$128.75	$355.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $273.41 / $273.41 / $312.89	Professional	TC	$273.41	$273.41	$312.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $703.79 / $1,202.09	Professional		$412.26	$703.79	$1,202.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.85 / $125.72 / $355.86	Professional	26	$110.85	$125.72	$355.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $286.54 / $318.32 / $954.19	Professional	TC	$286.54	$318.32	$954.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $703.79 / $1,202.09	Professional		$412.26	$703.79	$1,202.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $115.97 / $125.72 / $355.86	Professional	26	$115.97	$125.72	$355.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $286.54 / $318.32 / $737.56	Professional	TC	$286.54	$318.32	$737.56
United Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $656.52 / $1,278.72	Professional		$315.42	$656.52	$1,278.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.75 / $126.20 / $378.54	Professional	26	$86.75	$126.20	$378.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.11 / $462.17 / $900.18	Professional	TC	$224.11	$462.17	$900.18