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 $780.64 / $780.64 / $780.64	Facility	26	$780.64	$780.64	$780.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.14 / $806.44 / $1,619.13	Professional		$684.14	$806.44	$1,619.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.96 / $170.88 / $512.76	Professional	26	$144.96	$170.88	$512.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $531.86 / $531.86 / $531.86	Professional	TC	$531.86	$531.86	$531.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $939.28 / $1,619.13	Professional		$550.16	$939.28	$1,619.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.69 / $181.47 / $512.76	Professional	26	$165.69	$181.47	$512.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $368.68 / $414.40 / $1,154.59	Professional	TC	$368.68	$414.40	$1,154.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $894.09 / $1,619.13	Professional		$550.16	$894.09	$1,619.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $165.69 / $181.47 / $512.76	Professional	26	$165.69	$181.47	$512.76
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $368.68 / $414.40 / $749.52	Professional	TC	$368.68	$414.40	$749.52
United Facility/Professional Professional Modifier Low / Median / High Price $449.33 / $838.39 / $1,603.31	Professional		$449.33	$838.39	$1,603.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.28 / $180.87 / $545.45	Professional	26	$130.28	$180.87	$545.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $572.88 / $1,118.84	Professional	TC	$296.30	$572.88	$1,118.84