Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $1,230.27	Professional		$234.42	$338.84	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $213.80	Professional	26	$57.54	$95.50	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $1,000.00	Professional	TC	$173.78	$281.84	$1,000.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $1,584.89	Professional		$407.38	$478.63	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $251.19	Professional	26	$81.28	$81.28	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $323.59 / $380.19	Professional	TC	$323.59	$323.59	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $891.25	Professional		$309.03	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $89.13 / $190.55	Professional	26	$77.62	$89.13	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $398.11 / $691.83	Professional	TC	$223.87	$398.11	$691.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,047.13	Professional		$239.88	$239.88	$1,047.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $251.19	Professional	26	$64.57	$64.57	$251.19
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $831.76	Professional		$245.47	$457.09	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $204.17	Professional	26	$61.66	$83.18	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $275.42 / $616.60	Professional	TC	$181.97	$275.42	$616.60