Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
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 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $527.21 / $527.21 / $527.21	Facility	26	$527.21	$527.21	$527.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.10 / $773.39 / $1,499.54	Professional		$656.10	$773.39	$1,499.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.98 / $133.16 / $355.86	Professional	26	$112.98	$133.16	$355.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $553.20 / $553.20 / $624.02	Professional	TC	$553.20	$553.20	$624.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $783.72 / $1,499.54	Professional		$513.83	$783.72	$1,499.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.83 / $125.23 / $355.86	Professional	26	$111.83	$125.23	$355.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $388.60 / $432.08 / $1,215.26	Professional	TC	$388.60	$432.08	$1,215.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $776.53 / $1,499.54	Professional		$513.83	$776.53	$1,499.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $115.66 / $125.23 / $355.86	Professional	26	$115.66	$125.23	$355.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $388.60 / $432.08 / $688.89	Professional	TC	$388.60	$432.08	$688.89
United Facility/Professional Professional Modifier Low / Median / High Price $393.74 / $776.47 / $1,595.12	Professional		$393.74	$776.47	$1,595.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.38 / $126.18 / $378.54	Professional	26	$87.38	$126.18	$378.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.43 / $624.62 / $1,216.58	Professional	TC	$302.43	$624.62	$1,216.58