Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $567.69	Professional		$425.00	$425.00	$567.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $477.24	Professional	TC	$297.50	$297.50	$477.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $394.65 / $394.65 / $394.65	Facility	26	$394.65	$394.65	$394.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.27 / $353.27 / $1,099.00	Professional		$353.27	$353.27	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.62 / $84.62 / $269.01	Professional	26	$84.62	$84.62	$269.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.83 / $261.83 / $308.66	Professional	TC	$261.83	$261.83	$308.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.73 / $584.27 / $995.20	Professional		$339.73	$584.27	$995.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.37 / $94.79 / $269.01	Professional	26	$83.37	$94.79	$269.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.95 / $409.43 / $1,056.64	Professional	TC	$244.95	$409.43	$1,056.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $339.73 / $584.27 / $995.20	Professional		$339.73	$584.27	$995.20
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.83 / $94.79 / $269.01	Professional	26	$87.83	$94.79	$269.01
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $244.95 / $409.43 / $660.44	Professional	TC	$244.95	$409.43	$660.44
United Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $543.52 / $1,058.63	Professional		$261.64	$543.52	$1,058.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.48 / $95.44 / $286.16	Professional	26	$65.48	$95.44	$286.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.72 / $396.60 / $755.22	Professional	TC	$192.72	$396.60	$755.22