Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,778.28	Professional		$354.81	$524.81	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $512.86	Professional	26	$104.71	$165.96	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $794.33	Professional	TC	$263.03	$389.05	$794.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,819.70	Professional		$660.69	$660.69	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $426.58	Professional	26	$134.90	$134.90	$426.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $512.86 / $602.56	Professional	TC	$512.86	$512.86	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,819.70	Professional		$562.34	$1,096.48	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $151.36 / $323.59	Professional	26	$131.83	$151.36	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $954.99 / $1,584.89	Professional	TC	$436.52	$954.99	$1,584.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,819.70	Professional		$512.86	$512.86	$1,819.70
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $426.58	Professional	26	$107.15	$107.15	$426.58
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $1,862.09	Professional		$478.63	$954.99	$1,862.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $346.74	Professional	26	$104.71	$141.25	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $691.83 / $1,479.11	Professional	TC	$371.54	$691.83	$1,479.11