Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.44 / $272.42 / $292.91	Professional		$221.44	$272.42	$292.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $51.28 / $59.83	Professional	26	$43.82	$51.28	$59.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $233.08	Professional	TC	$177.61	$221.14	$233.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $319.31 / $319.31 / $319.31	Facility	26	$319.31	$319.31	$319.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.96 / $716.08 / $1,099.00	Professional		$244.96	$716.08	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.80 / $77.56 / $197.94	Professional	26	$65.80	$77.56	$197.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.08 / $177.08 / $208.74	Professional	TC	$177.08	$177.08	$208.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $355.09 / $716.08	Professional		$238.25	$355.09	$716.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $70.14 / $197.94	Professional	26	$65.06	$70.14	$197.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.18 / $178.56 / $465.44	Professional	TC	$173.18	$178.56	$465.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $349.32 / $716.08	Professional		$238.25	$349.32	$716.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $70.14 / $197.94	Professional	26	$65.06	$70.14	$197.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $173.18 / $178.56 / $292.38	Professional	TC	$173.18	$178.56	$292.38
United Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $343.08 / $681.64	Professional		$176.32	$343.08	$681.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $71.34 / $189.75	Professional	26	$52.75	$71.34	$189.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.28 / $271.74 / $551.16	Professional	TC	$130.28	$271.74	$551.16