Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $370.04 / $370.04	Professional		$269.24	$370.04	$370.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.75 / $137.18 / $139.49	Professional	26	$105.75	$137.18	$139.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.74 / $232.86 / $232.86	Professional	TC	$129.74	$232.86	$232.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $639.82 / $639.82 / $639.82	Facility	26	$639.82	$639.82	$639.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.01 / $671.91 / $1,855.78	Professional		$570.01	$671.91	$1,855.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $129.09 / $152.16 / $477.74	Professional	26	$129.09	$152.16	$477.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $451.24 / $451.24 / $531.91	Professional	TC	$451.24	$451.24	$531.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.55 / $646.42 / $1,855.78	Professional		$565.55	$646.42	$1,855.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $145.43 / $169.07 / $477.74	Professional	26	$145.43	$169.07	$477.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $412.78 / $490.77 / $813.43	Professional	TC	$412.78	$490.77	$813.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $538.35 / $646.42 / $1,855.78	Professional		$538.35	$646.42	$1,855.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $150.47 / $169.07 / $477.74	Professional	26	$150.47	$169.07	$477.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $392.91 / $490.77 / $813.43	Professional	TC	$392.91	$490.77	$813.43
United Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $654.34 / $1,823.36	Professional		$471.64	$654.34	$1,823.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.57 / $166.57 / $508.19	Professional	26	$116.57	$166.57	$508.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.51 / $469.63 / $1,465.87	Professional	TC	$282.51	$469.63	$1,465.87