Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $2,511.89	Professional		$371.54	$501.19	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $537.03	Professional	26	$112.20	$165.96	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $602.56	Professional	TC	$257.04	$338.84	$602.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,621.81	Professional		$691.83	$691.83	$1,621.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $512.86	Professional	26	$144.54	$144.54	$512.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $602.56	Professional	TC	$537.03	$537.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $1,548.82	Professional		$501.19	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $181.97 / $389.05	Professional	26	$158.49	$181.97	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $707.95 / $1,174.90	Professional	TC	$346.74	$707.95	$1,174.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,621.81	Professional		$436.52	$436.52	$1,621.81
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $512.86	Professional	26	$128.82	$128.82	$512.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	TC	$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $1,288.25	Professional		$416.87	$831.76	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $177.83 / $416.87	Professional	26	$125.89	$177.83	$416.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $512.86 / $1,023.29	Professional	TC	$288.40	$512.86	$1,023.29