Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,862.09	Professional		$338.84	$537.03	$1,862.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $162.18 / $512.86	Professional	26	$104.71	$162.18	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $416.87 / $1,258.93	Professional	TC	$263.03	$416.87	$1,258.93
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 $616.60 / $616.60 / $1,819.70	Professional		$616.60	$616.60	$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 $478.63 / $478.63 / $562.34	Professional	TC	$478.63	$478.63	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,737.80	Professional		$537.03	$1,047.13	$1,737.80
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 $407.38 / $912.01 / $1,479.11	Professional	TC	$407.38	$912.01	$1,479.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,737.80	Professional		$489.78	$489.78	$1,737.80
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 $380.19 / $380.19 / $380.19	Professional	TC	$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $1,862.09	Professional		$446.68	$891.25	$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 $338.84 / $660.69 / $1,380.38	Professional	TC	$338.84	$660.69	$1,380.38