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 $691.62 / $691.62 / $691.62	Facility	26	$691.62	$691.62	$691.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.71 / $467.71 / $1,799.00	Professional		$467.71	$467.71	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.55 / $148.55 / $456.25	Professional	26	$148.55	$148.55	$456.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $319.16 / $319.16 / $365.26	Professional	TC	$319.16	$319.16	$365.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.81 / $831.70 / $1,418.40	Professional		$486.81	$831.70	$1,418.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.24 / $161.47 / $456.25	Professional	26	$146.24	$161.47	$456.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.33 / $363.14 / $1,105.86	Professional	TC	$325.33	$363.14	$1,105.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $486.81 / $831.70 / $1,418.40	Professional		$486.81	$831.70	$1,418.40
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $148.44 / $161.47 / $456.25	Professional	26	$148.44	$161.47	$456.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $325.33 / $363.14 / $966.98	Professional	TC	$325.33	$363.14	$966.98
United Facility/Professional Professional Modifier Low / Median / High Price $372.81 / $779.70 / $1,508.81	Professional		$372.81	$779.70	$1,508.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.85 / $162.22 / $485.33	Professional	26	$113.85	$162.22	$485.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $525.47 / $1,203.33	Professional	TC	$249.53	$525.47	$1,203.33