Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $645.65	Professional		$331.13	$478.63	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $114.82 / $173.78	Professional	26	$83.18	$114.82	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $537.03	Professional	TC	$251.19	$338.84	$537.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,348.96	Professional		$691.83	$691.83	$1,348.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $346.74	Professional	26	$109.65	$109.65	$346.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $562.34 / $562.34 / $575.44	Professional	TC	$562.34	$562.34	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $1,513.56	Professional		$416.87	$870.96	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $120.23 / $257.04	Professional	26	$104.71	$120.23	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $741.31 / $1,412.54	Professional	TC	$309.03	$741.31	$1,412.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,348.96	Professional		$467.74	$467.74	$1,348.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $346.74	Professional	26	$87.10	$87.10	$346.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $380.19 / $380.19	Professional	TC	$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,071.52	Professional		$346.74	$691.83	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $112.20 / $275.42	Professional	26	$85.11	$112.20	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $524.81 / $912.01	Professional	TC	$263.03	$524.81	$912.01