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 $657.75 / $775.34 / $1,502.37	Professional		$657.75	$775.34	$1,502.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.35 / $783.72 / $1,502.37	Professional		$516.35	$783.72	$1,502.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.83 / $125.73 / $355.86	Professional	26	$111.83	$125.73	$355.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $390.62 / $429.13 / $1,219.77	Professional	TC	$390.62	$429.13	$1,219.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $516.35 / $778.43 / $1,502.37	Professional		$516.35	$778.43	$1,502.37
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $115.18 / $125.73 / $355.86	Professional	26	$115.18	$125.73	$355.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $390.62 / $429.13 / $690.88	Professional	TC	$390.62	$429.13	$690.88
United Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $777.93 / $1,598.13	Professional		$391.93	$777.93	$1,598.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.38 / $125.68 / $336.64	Professional	26	$87.38	$125.68	$336.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.98 / $593.66 / $1,219.58	Professional	TC	$300.98	$593.66	$1,219.58