Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $271.06 / $292.07	Professional		$220.65	$271.06	$292.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $55.17 / $63.89	Professional	26	$46.78	$55.17	$63.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.87 / $216.49 / $228.17	Professional	TC	$173.87	$216.49	$228.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $320.33 / $320.33 / $320.33	Facility	26	$320.33	$320.33	$320.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.18 / $186.18 / $1,099.00	Professional		$186.18	$186.18	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $68.56 / $216.68	Professional	26	$68.56	$68.56	$216.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.61 / $117.61 / $134.60	Professional	TC	$117.61	$117.61	$134.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $328.89 / $586.20	Professional		$192.97	$328.89	$586.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.67 / $76.29 / $216.68	Professional	26	$67.67	$76.29	$216.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.36 / $126.76 / $375.98	Professional	TC	$122.36	$126.76	$375.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $328.89 / $586.20	Professional		$192.97	$328.89	$586.20
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $70.61 / $76.29 / $216.68	Professional	26	$70.61	$76.29	$216.68
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $122.36 / $126.76 / $290.37	Professional	TC	$122.36	$126.76	$290.37
United Facility/Professional Professional Modifier Low / Median / High Price $162.37 / $303.54 / $553.30	Professional		$162.37	$303.54	$553.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.09 / $84.19 / $230.49	Professional	26	$53.09	$84.19	$230.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.03 / $201.81 / $393.08	Professional	TC	$92.03	$201.81	$393.08