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 Professional Modifier Low / Median / High Price $492.55 / $580.61 / $1,528.43	Professional		$492.55	$580.61	$1,528.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.25 / $164.15 / $457.68	Professional	26	$139.25	$164.15	$457.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $353.28 / $353.28 / $416.44	Professional	TC	$353.28	$353.28	$416.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.59 / $558.12 / $1,528.43	Professional		$521.59	$558.12	$1,528.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.41 / $161.97 / $457.68	Professional	26	$148.41	$161.97	$457.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $359.61 / $386.02 / $736.57	Professional	TC	$359.61	$386.02	$736.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $521.59 / $557.72 / $1,528.43	Professional		$521.59	$557.72	$1,528.43
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $148.41 / $161.97 / $457.68	Professional	26	$148.41	$161.97	$457.68
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $359.61 / $385.79 / $642.34	Professional	TC	$359.61	$385.79	$642.34
United Facility/Professional Professional Modifier Low / Median / High Price $403.84 / $834.75 / $1,625.85	Professional		$403.84	$834.75	$1,625.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.94 / $142.33 / $486.86	Professional	26	$110.94	$142.33	$486.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $721.10 / $1,238.16	Professional	TC	$286.19	$721.10	$1,238.16