Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.38 / $357.58 / $453.44	Professional		$283.38	$357.58	$453.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.24 / $71.66	Professional	26	$52.46	$61.24	$71.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.31 / $302.27 / $381.78	Professional	TC	$212.31	$302.27	$381.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $357.47 / $357.47 / $357.47	Facility	26	$357.47	$357.47	$357.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.46 / $481.46 / $1,128.71	Professional		$481.46	$481.46	$1,128.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $76.48 / $242.44	Professional	26	$76.48	$76.48	$242.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $402.30 / $402.30 / $474.22	Professional	TC	$402.30	$402.30	$474.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.98 / $552.04 / $1,128.71	Professional		$345.98	$552.04	$1,128.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $85.41 / $242.44	Professional	26	$75.09	$85.41	$242.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.76 / $297.36 / $760.14	Professional	TC	$266.76	$297.36	$760.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $345.98 / $534.80 / $1,128.71	Professional		$345.98	$534.80	$1,128.71
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $79.22 / $85.41 / $242.44	Professional	26	$79.22	$85.41	$242.44
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $266.76 / $297.36 / $480.16	Professional	TC	$266.76	$297.36	$480.16
United Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $584.45 / $1,200.65	Professional		$276.45	$584.45	$1,200.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.32 / $86.32 / $257.89	Professional	26	$59.32	$86.32	$257.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.01 / $458.91 / $942.75	Professional	TC	$214.01	$458.91	$942.75