Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $524.81	Professional		$117.49	$213.80	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $112.20 / $213.80	Professional	26	$52.48	$112.20	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $173.78 / $295.12	Professional	TC	$125.89	$173.78	$295.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,584.89	Professional		$263.03	$263.03	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $229.09	Professional	26	$72.44	$72.44	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $186.21 / $218.78	Professional	TC	$186.21	$186.21	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $741.31	Professional		$223.87	$426.58	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $81.28 / $173.78	Professional	26	$70.79	$81.28	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $346.74 / $660.69	Professional	TC	$154.88	$346.74	$660.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $741.31	Professional		$239.88	$239.88	$741.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $58.88 / $229.09	Professional	26	$58.88	$58.88	$229.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $602.56	Professional		$190.55	$380.19	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $186.21	Professional	26	$56.23	$75.86	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $251.19 / $457.09	Professional	TC	$134.90	$251.19	$457.09