Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $3,388.44	Professional		$346.74	$537.03	$3,388.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $173.78 / $501.19	Professional	26	$109.65	$173.78	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $977.24	Professional	TC	$239.88	$338.84	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,819.70	Professional		$467.74	$467.74	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $147.91 / $457.09	Professional	26	$147.91	$147.91	$457.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $316.23 / $363.08	Professional	TC	$316.23	$316.23	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,047.13 / $1,778.28	Professional		$436.52	$1,047.13	$1,778.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $162.18 / $354.81	Professional	26	$138.04	$162.18	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $707.95 / $1,479.11	Professional	TC	$295.12	$707.95	$1,479.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,412.54	Professional		$398.11	$398.11	$1,412.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $457.09	Professional	26	$114.82	$114.82	$457.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $1,584.89	Professional		$363.08	$776.25	$1,584.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $154.88 / $371.54	Professional	26	$112.20	$154.88	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $501.19 / $1,202.26	Professional	TC	$251.19	$501.19	$1,202.26