Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $660.69	Professional		$257.04	$323.59	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $91.20 / $323.59	Professional	26	$77.62	$91.20	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $467.74	Professional	TC	$173.78	$281.84	$467.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,584.89	Professional		$588.84	$588.84	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $363.08	Professional	26	$120.23	$120.23	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $457.09 / $537.03	Professional	TC	$457.09	$457.09	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,258.93	Professional		$407.38	$724.44	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $128.82 / $281.84	Professional	26	$109.65	$128.82	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $562.34 / $1,023.29	Professional	TC	$288.40	$562.34	$1,023.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,348.96	Professional		$389.05	$389.05	$1,348.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $363.08	Professional	26	$95.50	$95.50	$363.08
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $707.95 / $1,071.52	Professional		$316.23	$707.95	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $123.03 / $288.40	Professional	26	$89.13	$123.03	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $407.38 / $812.83	Professional	TC	$229.09	$407.38	$812.83