Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $375.74 / $406.64	Professional		$306.68	$375.74	$406.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $89.11 / $106.31	Professional	26	$76.45	$89.11	$106.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.22 / $286.63 / $302.12	Professional	TC	$230.22	$286.63	$302.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $1,353.63 / $1,599.00	Professional		$376.32	$1,353.63	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.17 / $108.66 / $363.01	Professional	26	$92.17	$108.66	$363.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $286.24 / $286.24 / $337.41	Professional	TC	$286.24	$286.24	$337.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.73 / $467.34 / $1,353.63	Professional		$413.73	$467.34	$1,353.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.36 / $128.26 / $363.01	Professional	26	$112.36	$128.26	$363.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.26 / $332.64 / $670.84	Professional	TC	$295.26	$332.64	$670.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $413.73 / $467.34 / $1,353.63	Professional		$413.73	$467.34	$1,353.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $118.47 / $128.26 / $363.01	Professional	26	$118.47	$128.26	$363.01
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $295.26 / $332.64 / $536.11	Professional	TC	$295.26	$332.64	$536.11
United Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $515.34 / $1,248.10	Professional		$343.43	$515.34	$1,248.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.55 / $134.75 / $346.16	Professional	26	$89.55	$134.75	$346.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $392.64 / $1,053.76	Professional	TC	$238.92	$392.64	$1,053.76