Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $580.66 / $580.66	Professional		$580.66	$580.66	$580.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.25 / $72.25 / $72.25	Professional	26	$72.25	$72.25	$72.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $508.43 / $508.43 / $508.43	Professional	TC	$508.43	$508.43	$508.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $353.29 / $353.29 / $353.29	Facility	26	$353.29	$353.29	$353.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.96 / $489.96 / $955.13	Professional		$489.96	$489.96	$955.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $528.54 / $955.13	Professional		$312.24	$528.54	$955.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $88.47 / $256.87	Professional	26	$84.05	$88.47	$256.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.19 / $230.91 / $729.09	Professional	TC	$228.19	$230.91	$729.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $528.54 / $955.13	Professional		$312.24	$528.54	$955.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $88.47 / $256.87	Professional	26	$84.05	$88.47	$256.87
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $221.46 / $230.91 / $729.09	Professional	TC	$221.46	$230.91	$729.09
United Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $636.03 / $1,016.01	Professional		$305.14	$636.03	$1,016.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.05 / $89.76 / $273.24	Professional	26	$62.05	$89.76	$273.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.65 / $576.86 / $742.77	Professional	TC	$222.65	$576.86	$742.77