Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,047.13	Professional		$295.12	$478.63	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $141.25 / $281.84	Professional	26	$95.50	$141.25	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $331.13 / $501.19	Professional	TC	$208.93	$331.13	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,202.26	Professional		$389.05	$389.05	$1,202.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $354.81	Professional	26	$112.20	$112.20	$354.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $275.42 / $316.23	Professional	TC	$275.42	$275.42	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,380.38	Professional		$371.54	$812.83	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $125.89 / $269.15	Professional	26	$107.15	$125.89	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $616.60 / $1,174.90	Professional	TC	$263.03	$616.60	$1,174.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,202.26	Professional		$331.13	$331.13	$1,202.26
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 / $616.60 / $1,071.52	Professional		$309.03	$616.60	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $288.40	Professional	26	$87.10	$117.49	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $436.52 / $891.25	Professional	TC	$218.78	$436.52	$891.25