Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,023.29	Professional		$371.54	$478.63	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $141.25 / $575.44	Professional	26	$95.50	$141.25	$575.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $645.65	Professional	TC	$257.04	$338.84	$645.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $630.96	Professional		$524.81	$524.81	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $354.81	Professional	26	$114.82	$114.82	$354.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $407.38 / $478.63	Professional	TC	$407.38	$407.38	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,513.56	Professional		$457.09	$794.33	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $125.89 / $269.15	Professional	26	$109.65	$125.89	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $676.08 / $1,230.27	Professional	TC	$346.74	$676.08	$1,230.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $354.81	Professional	26	$91.20	$91.20	$354.81
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	TC	$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,202.26	Professional		$380.19	$741.31	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $120.23 / $288.40	Professional	26	$89.13	$120.23	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $478.63 / $912.01	Professional	TC	$295.12	$478.63	$912.01