Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $602.56	Professional		$229.09	$354.81	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $177.83	Professional	26	$54.95	$69.18	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $218.78 / $389.05	Professional	TC	$173.78	$218.78	$389.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,122.02	Professional		$478.63	$478.63	$1,122.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $239.88	Professional	26	$75.86	$75.86	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $398.11 / $478.63	Professional	TC	$398.11	$398.11	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $977.24	Professional		$346.74	$549.54	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $181.97	Professional	26	$74.13	$85.11	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $478.63 / $794.33	Professional	TC	$269.15	$478.63	$794.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $1,122.02	Professional		$281.84	$281.84	$1,122.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $239.88	Professional	26	$61.66	$61.66	$239.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	TC	$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $891.25	Professional		$269.15	$537.03	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $194.98	Professional	26	$58.88	$79.43	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $331.13 / $707.95	Professional	TC	$208.93	$331.13	$707.95