Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $2,238.72	Professional		$380.19	$616.60	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $281.84 / $831.76	Professional	26	$218.78	$281.84	$831.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $275.42 / $407.38	Professional	TC	$213.80	$275.42	$407.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	26	$1,348.96	$1,348.96	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $2,041.74	Professional		$676.08	$676.08	$2,041.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $295.12 / $954.99	Professional	26	$295.12	$295.12	$954.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	TC	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,041.74	Professional		$645.65	$912.01	$2,041.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $309.03 / $954.99	Professional	26	$281.84	$309.03	$954.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $380.19 / $912.01	Professional	TC	$346.74	$380.19	$912.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Professional	26	$954.99	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $2,290.87	Professional		$602.56	$1,047.13	$2,290.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $302.00 / $549.54	Professional	26	$229.09	$302.00	$549.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $562.34 / $1,202.26	Professional	TC	$323.59	$562.34	$1,202.26