Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.85 / $477.43 / $514.91	Professional		$388.85	$477.43	$514.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $98.54 / $116.75	Professional	26	$84.53	$98.54	$116.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.31 / $378.88 / $399.35	Professional	TC	$304.31	$378.88	$399.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.74 / $1,516.63 / $1,599.00	Professional		$473.74	$1,516.63	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.18 / $126.35 / $398.84	Professional	26	$107.18	$126.35	$398.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $352.40 / $352.40 / $415.40	Professional	TC	$352.40	$352.40	$415.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.60 / $591.51 / $1,516.63	Professional		$468.60	$591.51	$1,516.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.23 / $140.93 / $398.84	Professional	26	$124.23	$140.93	$398.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.77 / $375.23 / $880.90	Professional	TC	$338.77	$375.23	$880.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $468.60 / $591.51 / $1,516.63	Professional		$468.60	$591.51	$1,516.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $129.83 / $140.93 / $398.84	Professional	26	$129.83	$140.93	$398.84
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $338.77 / $375.23 / $608.28	Professional	TC	$338.77	$375.23	$608.28
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $689.33 / $1,613.30	Professional		$373.53	$689.33	$1,613.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.51 / $153.34 / $424.26	Professional	26	$98.51	$153.34	$424.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.14 / $503.08 / $1,023.34	Professional	TC	$298.14	$503.08	$1,023.34