Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $629.01 / $629.01 / $629.01	Facility	26	$629.01	$629.01	$629.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $535.16 / $1,799.00	Professional		$535.16	$535.16	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.84 / $134.84 / $428.24	Professional	26	$134.84	$134.84	$428.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $390.02 / $390.02 / $459.75	Professional	TC	$390.02	$390.02	$459.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.71 / $885.18 / $1,503.31	Professional		$513.71	$885.18	$1,503.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.84 / $151.58 / $428.24	Professional	26	$132.84	$151.58	$428.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $362.13 / $544.37 / $1,522.42	Professional	TC	$362.13	$544.37	$1,522.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.71 / $885.18 / $1,503.31	Professional		$513.71	$885.18	$1,503.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $138.90 / $151.58 / $428.24	Professional	26	$138.90	$151.58	$428.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $362.13 / $544.37 / $1,006.23	Professional	TC	$362.13	$544.37	$1,006.23
United Facility/Professional Professional Modifier Low / Median / High Price $396.26 / $821.02 / $1,599.12	Professional		$396.26	$821.02	$1,599.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.98 / $151.51 / $455.54	Professional	26	$104.98	$151.51	$455.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.91 / $587.14 / $1,207.22	Professional	TC	$286.91	$587.14	$1,207.22