Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $588.84	Professional		$229.09	$288.40	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $204.17	Professional	26	$52.48	$75.86	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $446.68	Professional	TC	$173.78	$223.87	$446.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $1,584.89	Professional		$371.54	$371.54	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $229.09	Professional	26	$74.13	$74.13	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $302.00 / $354.81	Professional	TC	$302.00	$302.00	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $870.96	Professional		$302.00	$436.52	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $81.28 / $173.78	Professional	26	$70.79	$81.28	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $691.83	Professional	TC	$223.87	$354.81	$691.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,023.29	Professional		$239.88	$239.88	$1,023.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $58.88 / $229.09	Professional	26	$58.88	$58.88	$229.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $812.83	Professional		$239.88	$436.52	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $186.21	Professional	26	$56.23	$75.86	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $263.03 / $630.96	Professional	TC	$181.97	$263.03	$630.96