Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $753.15 / $753.15 / $753.15	Facility	26	$753.15	$753.15	$753.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.96 / $584.76 / $1,799.00	Professional		$510.96	$584.76	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.80 / $185.16 / $456.25	Professional	26	$161.80	$185.16	$456.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $349.16 / $349.16 / $399.60	Professional	TC	$349.16	$349.16	$399.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.82 / $833.32 / $1,421.24	Professional		$487.82	$833.32	$1,421.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.97 / $165.07 / $456.25	Professional	26	$147.97	$165.07	$456.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $326.35 / $364.12 / $1,106.38	Professional	TC	$326.35	$364.12	$1,106.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $487.82 / $833.32 / $1,421.24	Professional		$487.82	$833.32	$1,421.24
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $147.97 / $165.07 / $456.25	Professional	26	$147.97	$165.07	$456.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $326.35 / $364.12 / $967.47	Professional	TC	$326.35	$364.12	$967.47
United Facility/Professional Professional Modifier Low / Median / High Price $362.64 / $776.20 / $1,511.82	Professional		$362.64	$776.20	$1,511.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.12 / $196.84 / $434.55	Professional	26	$124.12	$196.84	$434.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.24 / $527.02 / $1,203.34	Professional	TC	$250.24	$527.02	$1,203.34