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 $474.14 / $474.14 / $474.14	Facility	26	$474.14	$474.14	$474.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.73 / $591.42 / $1,399.15	Professional		$501.73	$591.42	$1,399.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.59 / $119.75 / $324.22	Professional	26	$101.59	$119.75	$324.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $391.01 / $391.01 / $460.92	Professional	TC	$391.01	$391.01	$460.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $801.41 / $1,399.15	Professional		$474.41	$801.41	$1,399.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.58 / $114.30 / $324.22	Professional	26	$100.58	$114.30	$324.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.11 / $408.94 / $1,095.40	Professional	TC	$360.11	$408.94	$1,095.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $762.85 / $1,399.15	Professional		$474.41	$762.85	$1,399.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $105.71 / $114.30 / $324.22	Professional	26	$105.71	$114.30	$324.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $360.11 / $408.94 / $689.50	Professional	TC	$360.11	$408.94	$689.50
United Facility/Professional Professional Modifier Low / Median / High Price $408.50 / $724.49 / $1,395.64	Professional		$408.50	$724.49	$1,395.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.54 / $115.57 / $344.88	Professional	26	$79.54	$115.57	$344.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.63 / $556.61 / $1,143.45	Professional	TC	$287.63	$556.61	$1,143.45