Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $338.16 / $363.16	Professional		$274.70	$338.16	$363.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.83 / $68.40	Professional	26	$50.07	$58.83	$68.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.62 / $279.66 / $294.76	Professional	TC	$224.62	$279.66	$294.76
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $340.53 / $340.53 / $340.53	Facility	26	$340.53	$340.53	$340.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $735.66 / $1,599.00	Professional		$265.45	$735.66	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.77 / $85.77 / $230.98	Professional	26	$72.77	$85.77	$230.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.91 / $186.91 / $220.33	Professional	TC	$186.91	$186.91	$220.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $425.10 / $735.66	Professional		$254.23	$425.10	$735.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.14 / $81.34 / $230.98	Professional	26	$72.14	$81.34	$230.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.88 / $231.89 / $580.79	Professional	TC	$172.88	$231.89	$580.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $422.11 / $735.66	Professional		$254.23	$422.11	$735.66
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $75.52 / $81.34 / $230.98	Professional	26	$75.52	$81.34	$230.98
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $172.88 / $231.89 / $361.30	Professional	TC	$172.88	$231.89	$361.30
United Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $380.93 / $738.75	Professional		$207.67	$380.93	$738.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.80 / $89.71 / $219.60	Professional	26	$56.80	$89.71	$219.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $275.63 / $519.15	Professional	TC	$137.50	$275.63	$519.15