Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $373.96 / $401.56	Professional		$303.77	$373.96	$401.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $64.37 / $74.92	Professional	26	$54.86	$64.37	$74.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.90 / $309.89 / $326.63	Professional	TC	$248.90	$309.89	$326.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $372.34 / $372.34 / $372.34	Facility	26	$372.34	$372.34	$372.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.57 / $409.57 / $1,599.00	Professional		$409.57	$409.57	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.78 / $80.78 / $253.27	Professional	26	$80.78	$80.78	$253.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $320.95 / $320.95 / $378.33	Professional	TC	$320.95	$320.95	$378.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.47 / $478.29 / $1,040.88	Professional		$306.47	$478.29	$1,040.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.42 / $89.21 / $253.27	Professional	26	$79.42	$89.21	$253.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.01 / $263.08 / $647.48	Professional	TC	$224.01	$263.08	$647.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $306.47 / $470.21 / $1,040.88	Professional		$306.47	$470.21	$1,040.88
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $82.46 / $89.21 / $253.27	Professional	26	$82.46	$89.21	$253.27
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $224.01 / $263.08 / $417.26	Professional	TC	$224.01	$263.08	$417.26
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $518.75 / $1,107.23	Professional		$251.18	$518.75	$1,107.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.05 / $98.00 / $269.42	Professional	26	$62.05	$98.00	$269.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $376.08 / $701.96	Professional	TC	$185.86	$376.08	$701.96