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 $626.92 / $626.92 / $626.92	Facility	26	$626.92	$626.92	$626.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.62 / $1,730.56 / $1,799.00	Professional		$620.62	$1,730.56	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.30 / $159.49 / $429.68	Professional	26	$135.30	$159.49	$429.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $474.98 / $474.98 / $559.89	Professional	TC	$474.98	$474.98	$559.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.79 / $1,026.28 / $1,730.56	Professional		$586.79	$1,026.28	$1,730.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.84 / $151.58 / $429.68	Professional	26	$132.84	$151.58	$429.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $435.21 / $497.58 / $1,404.11	Professional	TC	$435.21	$497.58	$1,404.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $586.79 / $1,026.28 / $1,730.56	Professional		$586.79	$1,026.28	$1,730.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $139.37 / $151.58 / $429.68	Professional	26	$139.37	$151.58	$429.68
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $435.21 / $497.58 / $956.30	Professional	TC	$435.21	$497.58	$956.30
United Facility/Professional Professional Modifier Low / Median / High Price $459.06 / $945.14 / $1,840.86	Professional		$459.06	$945.14	$1,840.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.23 / $152.03 / $457.07	Professional	26	$104.23	$152.03	$457.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.35 / $673.60 / $1,383.79	Professional	TC	$349.35	$673.60	$1,383.79