Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $688.75	Professional		$425.00	$425.00	$688.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $485.75	Professional	TC	$297.50	$297.50	$485.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $658.80 / $658.80 / $658.80	Facility	26	$658.80	$658.80	$658.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.10 / $497.10 / $1,799.00	Professional		$497.10	$497.10	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.81 / $141.81 / $436.87	Professional	26	$141.81	$141.81	$436.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $355.28 / $355.28 / $355.28	Professional	TC	$355.28	$355.28	$355.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.24 / $887.59 / $1,507.62	Professional		$515.24	$887.59	$1,507.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.79 / $156.57 / $436.87	Professional	26	$139.79	$156.57	$436.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.62 / $541.91 / $1,514.89	Professional	TC	$360.62	$541.91	$1,514.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $515.24 / $887.59 / $1,507.62	Professional		$515.24	$887.59	$1,507.62
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $142.41 / $156.57 / $436.87	Professional	26	$142.41	$156.57	$436.87
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $360.62 / $541.91 / $1,005.73	Professional	TC	$360.62	$541.91	$1,005.73
United Facility/Professional Professional Modifier Low / Median / High Price $397.35 / $823.38 / $1,603.71	Professional		$397.35	$823.38	$1,603.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.32 / $155.05 / $415.31	Professional	26	$109.32	$155.05	$415.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.47 / $584.78 / $1,208.33	Professional	TC	$285.47	$584.78	$1,208.33