Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $794.33	Professional		$346.74	$512.86	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $141.25 / $512.86	Professional	26	$87.10	$141.25	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $630.96	Professional	TC	$257.04	$346.74	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,412.54	Professional		$501.19	$501.19	$1,412.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $323.59	Professional	26	$102.33	$102.33	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $389.05 / $457.09	Professional	TC	$389.05	$389.05	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,412.54	Professional		$436.52	$812.83	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $114.82 / $245.47	Professional	26	$100.00	$114.82	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $660.69 / $1,174.90	Professional	TC	$331.13	$660.69	$1,174.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,412.54	Professional		$398.11	$398.11	$1,412.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $323.59	Professional	26	$81.28	$81.28	$323.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $316.23 / $316.23	Professional	TC	$316.23	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,122.02	Professional		$363.08	$724.44	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $263.03	Professional	26	$79.43	$107.15	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $478.63 / $912.01	Professional	TC	$281.84	$478.63	$912.01