Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $660.86 / $660.86 / $660.86	Facility	26	$660.86	$660.86	$660.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.51 / $1,501.91 / $1,799.00	Professional		$494.51	$1,501.91	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.81 / $141.81 / $436.87	Professional	26	$141.81	$141.81	$436.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $352.72 / $352.72 / $403.67	Professional	TC	$352.72	$352.72	$403.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.22 / $885.96 / $1,501.91	Professional		$513.22	$885.96	$1,501.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.79 / $156.57 / $436.87	Professional	26	$139.79	$156.57	$436.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $358.60 / $540.91 / $1,508.44	Professional	TC	$358.60	$540.91	$1,508.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.22 / $885.96 / $1,501.91	Professional		$513.22	$885.96	$1,501.91
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $142.41 / $156.57 / $436.87	Professional	26	$142.41	$156.57	$436.87
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $358.60 / $540.91 / $1,004.73	Professional	TC	$358.60	$540.91	$1,004.73
United Facility/Professional Professional Modifier Low / Median / High Price $436.28 / $801.16 / $1,597.64	Professional		$436.28	$801.16	$1,597.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.32 / $155.05 / $464.72	Professional	26	$109.32	$155.05	$464.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.74 / $581.66 / $1,207.82	Professional	TC	$284.74	$581.66	$1,207.82