Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
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 $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $477.31 / $477.31 / $477.31	Facility	26	$477.31	$477.31	$477.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.71 / $1,099.00 / $1,400.59	Professional		$502.71	$1,099.00	$1,400.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.59 / $119.75 / $324.22	Professional	26	$101.59	$119.75	$324.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $391.99 / $391.99 / $462.07	Professional	TC	$391.99	$391.99	$462.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.93 / $807.91 / $1,400.59	Professional		$476.93	$807.91	$1,400.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.58 / $114.30 / $324.22	Professional	26	$100.58	$114.30	$324.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $362.63 / $413.86 / $1,107.10	Professional	TC	$362.63	$413.86	$1,107.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $476.93 / $769.03 / $1,400.59	Professional		$476.93	$769.03	$1,400.59
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $105.71 / $114.30 / $324.22	Professional	26	$105.71	$114.30	$324.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $362.63 / $413.86 / $696.87	Professional	TC	$362.63	$413.86	$696.87
United Facility/Professional Professional Modifier Low / Median / High Price $389.12 / $725.23 / $1,398.38	Professional		$389.12	$725.23	$1,398.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.55 / $115.57 / $344.88	Professional	26	$79.55	$115.57	$344.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.19 / $587.86 / $1,088.81	Professional	TC	$317.19	$587.86	$1,088.81