Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $274.81 / $296.57	Professional		$223.90	$274.81	$296.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $60.20 / $70.03	Professional	26	$51.28	$60.20	$70.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.62 / $214.94 / $226.54	Professional	TC	$172.62	$214.94	$226.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $349.00 / $349.00 / $349.00	Facility	26	$349.00	$349.00	$349.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $601.94 / $1,099.00	Professional		$189.59	$601.94	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.62 / $85.40 / $236.73	Professional	26	$74.62	$85.40	$236.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.97 / $114.97 / $131.58	Professional	TC	$114.97	$114.97	$131.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $337.40 / $601.94	Professional		$197.83	$337.40	$601.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.12 / $83.38 / $236.73	Professional	26	$74.12	$83.38	$236.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.46 / $124.74 / $370.12	Professional	TC	$120.46	$124.74	$370.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $337.40 / $601.94	Professional		$197.83	$337.40	$601.94
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $77.37 / $83.38 / $236.73	Professional	26	$77.37	$83.38	$236.73
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $120.46 / $124.74 / $287.13	Professional	TC	$120.46	$124.74	$287.13
United Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $311.69 / $567.64	Professional		$151.58	$311.69	$567.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.94 / $84.30 / $225.79	Professional	26	$57.94	$84.30	$225.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.39 / $189.11 / $385.58	Professional	TC	$109.39	$189.11	$385.58