Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $475.00	Professional		$375.00	$425.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $140.00	Professional	26	$112.50	$127.50	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $335.00	Professional	TC	$262.50	$297.50	$335.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $533.54 / $533.54 / $533.54	Facility	26	$533.54	$533.54	$533.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.33 / $530.33 / $625.14	Professional		$530.33	$530.33	$625.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.37 / $134.82 / $357.30	Professional	26	$114.37	$134.82	$357.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $408.47 / $408.47 / $481.48	Professional	TC	$408.47	$408.47	$481.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $553.76 / $1,440.32	Professional		$513.83	$553.76	$1,440.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.83 / $126.24 / $357.30	Professional	26	$112.83	$126.24	$357.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $387.59 / $429.13 / $1,219.77	Professional	TC	$387.59	$429.13	$1,219.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $553.76 / $912.50	Professional		$513.83	$553.76	$912.50
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $116.57 / $126.24 / $357.30	Professional	26	$116.57	$126.24	$357.30
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $387.59 / $429.13 / $690.38	Professional	TC	$387.59	$429.13	$690.38
United Facility/Professional Professional Modifier Low / Median / High Price $392.65 / $772.02 / $1,475.36	Professional		$392.65	$772.02	$1,475.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.43 / $127.20 / $380.07	Professional	26	$88.43	$127.20	$380.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.62 / $587.01 / $1,205.91	Professional	TC	$300.62	$587.01	$1,205.91