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 $509.23 / $1,424.11 / $1,799.00	Professional		$509.23	$1,424.11	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.09 / $161.09 / $456.25	Professional	26	$161.09	$161.09	$456.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $348.14 / $348.14 / $398.43	Professional	TC	$348.14	$348.14	$398.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $834.95 / $1,424.11	Professional		$488.83	$834.95	$1,424.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.97 / $165.52 / $456.25	Professional	26	$147.97	$165.52	$456.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $327.36 / $365.10 / $1,094.86	Professional	TC	$327.36	$365.10	$1,094.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $834.95 / $1,424.11	Professional		$488.83	$834.95	$1,424.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $147.97 / $165.52 / $456.25	Professional	26	$147.97	$165.52	$456.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $327.36 / $365.10 / $909.04	Professional	TC	$327.36	$365.10	$909.04
United Facility/Professional Professional Modifier Low / Median / High Price $381.38 / $777.77 / $1,514.88	Professional		$381.38	$777.77	$1,514.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.46 / $167.19 / $434.55	Professional	26	$124.46	$167.19	$434.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.94 / $528.59 / $1,183.28	Professional	TC	$250.94	$528.59	$1,183.28