Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $478.63 / $1,778.28	Professional		$213.80	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $512.86	Professional	26	$70.79	$141.25	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $338.84 / $537.03	Professional	TC	$144.54	$338.84	$537.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $870.96	Professional		$275.42	$275.42	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $288.40	Professional	26	$91.20	$91.20	$288.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $186.21 / $213.80	Professional	TC	$186.21	$186.21	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $630.96 / $1,122.02	Professional		$269.15	$630.96	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $102.33 / $218.78	Professional	26	$89.13	$102.33	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $426.58 / $977.24	Professional	TC	$177.83	$426.58	$977.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $870.96	Professional		$338.84	$338.84	$870.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $288.40	Professional	26	$72.44	$72.44	$288.40
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	TC	$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $891.25	Professional		$223.87	$478.63	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $234.42	Professional	26	$70.79	$95.50	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $645.65	Professional	TC	$151.36	$302.00	$645.65