Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $323.45 / $351.25	Professional		$264.62	$323.45	$351.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $87.17 / $101.42	Professional	26	$73.00	$87.17	$101.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.62 / $238.57 / $251.46	Professional	TC	$191.62	$238.57	$251.46
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $494.46 / $494.46 / $494.46	Facility	26	$494.46	$494.46	$494.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $389.38 / $997.69	Professional		$330.32	$389.38	$997.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.42 / $112.47 / $345.71	Professional	26	$95.42	$112.47	$345.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.06 / $241.06 / $284.16	Professional	TC	$241.06	$241.06	$284.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.96 / $378.70 / $997.69	Professional		$347.96	$378.70	$997.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.63 / $121.90 / $345.71	Professional	26	$108.63	$121.90	$345.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.06 / $266.08 / $446.76	Professional	TC	$226.06	$266.08	$446.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $347.04 / $378.70 / $997.69	Professional		$347.04	$378.70	$997.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $112.61 / $121.90 / $345.71	Professional	26	$112.61	$121.90	$345.71
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $226.06 / $266.08 / $368.26	Professional	TC	$226.06	$266.08	$368.26
United Facility/Professional Professional Modifier Low / Median / High Price $278.29 / $435.40 / $948.64	Professional		$278.29	$435.40	$948.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $124.68 / $367.74	Professional	26	$84.34	$124.68	$367.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.21 / $322.61 / $693.54	Professional	TC	$164.21	$322.61	$693.54