Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.58 / $451.73 / $484.28	Professional		$366.58	$451.73	$484.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $70.78 / $82.48	Professional	26	$60.39	$70.78	$82.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $306.18 / $381.20 / $401.80	Professional	TC	$306.18	$381.20	$401.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $411.57 / $411.57 / $411.57	Facility	26	$411.57	$411.57	$411.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.84 / $485.84 / $1,599.00	Professional		$485.84	$485.84	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.88 / $87.88 / $277.60	Professional	26	$87.88	$87.88	$277.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $397.98 / $397.98 / $397.98	Professional	TC	$397.98	$397.98	$397.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.81 / $616.49 / $1,168.18	Professional		$348.81	$616.49	$1,168.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.86 / $97.83 / $277.60	Professional	26	$86.86	$97.83	$277.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.74 / $298.37 / $792.16	Professional	TC	$257.74	$298.37	$792.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $348.81 / $614.10 / $1,168.18	Professional		$348.81	$614.10	$1,168.18
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $91.07 / $97.83 / $277.60	Professional	26	$91.07	$97.83	$277.60
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $257.74 / $298.37 / $549.07	Professional	TC	$257.74	$298.37	$549.07
United Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $604.88 / $1,242.63	Professional		$283.30	$604.88	$1,242.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $99.06 / $295.29	Professional	26	$68.23	$99.06	$295.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.48 / $461.14 / $947.34	Professional	TC	$211.48	$461.14	$947.34