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 $391.47 / $391.47 / $391.47	Facility	26	$391.47	$391.47	$391.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $1,099.00 / $1,358.37	Professional		$484.89	$1,099.00	$1,358.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.62 / $99.75 / $270.45	Professional	26	$84.62	$99.75	$270.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $392.96 / $392.96 / $463.22	Professional	TC	$392.96	$392.96	$463.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.94 / $741.85 / $1,358.37	Professional		$459.94	$741.85	$1,358.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.37 / $95.29 / $270.45	Professional	26	$83.37	$95.29	$270.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $364.65 / $409.43 / $1,078.27	Professional	TC	$364.65	$409.43	$1,078.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $459.94 / $731.50 / $1,358.37	Professional		$459.94	$731.50	$1,358.37
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.83 / $95.29 / $270.45	Professional	26	$87.83	$95.29	$270.45
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $364.65 / $409.43 / $674.43	Professional	TC	$364.65	$409.43	$674.43
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $741.87 / $1,348.58	Professional		$358.37	$741.87	$1,348.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.77 / $95.94 / $256.99	Professional	26	$64.77	$95.94	$256.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.08 / $594.16 / $1,157.26	Professional	TC	$289.08	$594.16	$1,157.26