Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $408.85 / $519.20	Professional		$341.78	$408.85	$519.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $96.23 / $112.49	Professional	26	$82.39	$96.23	$112.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.22 / $321.99 / $406.70	Professional	TC	$246.22	$321.99	$406.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $562.16 / $562.16 / $562.16	Facility	26	$562.16	$562.16	$562.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $1,432.40 / $1,599.00	Professional		$487.04	$1,432.40	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.27 / $140.59 / $374.47	Professional	26	$119.27	$140.59	$374.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $359.86 / $359.86 / $424.20	Professional	TC	$359.86	$359.86	$424.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.91 / $706.16 / $1,432.40	Professional		$471.91	$706.16	$1,432.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.81 / $132.32 / $374.47	Professional	26	$118.81	$132.32	$374.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $349.50 / $361.36 / $1,006.57	Professional	TC	$349.50	$361.36	$1,006.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $471.91 / $668.92 / $1,432.40	Professional		$471.91	$668.92	$1,432.40
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $122.42 / $132.32 / $374.47	Professional	26	$122.42	$132.32	$374.47
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $349.50 / $361.36 / $594.15	Professional	TC	$349.50	$361.36	$594.15
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $741.70 / $1,523.70	Professional		$360.90	$741.70	$1,523.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.29 / $132.77 / $398.34	Professional	26	$93.29	$132.77	$398.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.56 / $395.96 / $999.60	Professional	TC	$258.56	$395.96	$999.60