Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.22 / $438.58 / $1,196.34	Professional		$383.22	$438.58	$1,196.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $703.82 / $1,196.34	Professional		$409.70	$703.82	$1,196.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.38 / $121.15 / $345.83	Professional	26	$107.38	$121.15	$345.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.55 / $447.35 / $1,163.89	Professional	TC	$288.55	$447.35	$1,163.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $703.82 / $1,196.34	Professional		$409.70	$703.82	$1,196.34
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $112.45 / $121.15 / $345.83	Professional	26	$112.45	$121.15	$345.83
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $288.55 / $447.35 / $732.61	Professional	TC	$288.55	$447.35	$732.61
United Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $653.38 / $1,272.59	Professional		$319.91	$653.38	$1,272.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $122.65 / $367.88	Professional	26	$84.34	$122.65	$367.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.64 / $464.50 / $904.72	Professional	TC	$226.64	$464.50	$904.72