Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $409.55 / $445.80	Professional		$335.52	$409.55	$445.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $118.84 / $138.37	Professional	26	$100.31	$118.84	$138.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.21 / $292.83 / $308.66	Professional	TC	$235.21	$292.83	$308.66
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $676.99 / $676.99 / $676.99	Facility	26	$676.99	$676.99	$676.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.24 / $576.70 / $1,410.53	Professional		$489.24	$576.70	$1,410.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.65 / $154.01 / $474.10	Professional	26	$130.65	$154.01	$474.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $361.19 / $361.19 / $425.76	Professional	TC	$361.19	$361.19	$425.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $803.90 / $1,410.53	Professional		$492.90	$803.90	$1,410.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.24 / $167.80 / $474.10	Professional	26	$148.24	$167.80	$474.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.10 / $413.70 / $1,102.98	Professional	TC	$325.10	$413.70	$1,102.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $736.17 / $1,410.53	Professional		$492.90	$736.17	$1,410.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $153.19 / $167.80 / $474.10	Professional	26	$153.19	$167.80	$474.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $325.10 / $413.70 / $653.16	Professional	TC	$325.10	$413.70	$653.16
United Facility/Professional Professional Modifier Low / Median / High Price $402.15 / $770.36 / $1,372.39	Professional		$402.15	$770.36	$1,372.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.20 / $168.06 / $449.21	Professional	26	$116.20	$168.06	$449.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.69 / $511.43 / $996.12	Professional	TC	$244.69	$511.43	$996.12