Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.44 / $272.42 / $292.91	Professional		$221.44	$272.42	$292.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $51.28 / $59.83	Professional	26	$43.82	$51.28	$59.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $233.08	Professional	TC	$177.61	$221.14	$233.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $319.31 / $319.31 / $319.31	Facility	26	$319.31	$319.31	$319.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $570.29 / $1,099.00	Professional		$198.32	$570.29	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.06 / $60.06 / $197.94	Professional	26	$60.06	$60.06	$197.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.27 / $144.27 / $170.07	Professional	TC	$144.27	$144.27	$170.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $350.84 / $570.29	Professional		$198.22	$350.84	$570.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $70.14 / $197.94	Professional	26	$65.06	$70.14	$197.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.27 / $179.05 / $466.34	Professional	TC	$128.27	$179.05	$466.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $349.80 / $570.29	Professional		$198.22	$349.80	$570.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $70.14 / $197.94	Professional	26	$65.06	$70.14	$197.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $128.27 / $179.05 / $290.89	Professional	TC	$128.27	$179.05	$290.89
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $311.47 / $606.65	Professional		$157.35	$311.47	$606.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $71.34 / $189.75	Professional	26	$49.08	$71.34	$189.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.60 / $200.29 / $396.09	Professional	TC	$103.60	$200.29	$396.09