Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $8,511.38	Professional		$1,548.82	$2,454.71	$8,511.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $489.78 / $1,445.44	Professional	26	$302.00	$489.78	$1,445.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,230.27 / $1,584.89 / $2,137.96	Professional	TC	$1,230.27	$1,584.89	$2,137.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	26	$2,344.23	$2,344.23	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $7,762.47	Professional		$2,290.87	$2,290.87	$7,762.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $524.81 / $1,778.28	Professional	26	$524.81	$524.81	$1,778.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional	TC	$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $7,762.47	Professional		$2,454.71	$2,754.23	$7,762.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $562.34 / $1,778.28	Professional	26	$489.78	$562.34	$1,778.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,905.46 / $2,137.96 / $5,011.87	Professional	TC	$1,905.46	$2,137.96	$5,011.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional	26	$1,778.28	$1,778.28	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $6,309.57	Professional		$2,137.96	$2,630.27	$6,309.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $549.54 / $1,023.29	Professional	26	$398.11	$549.54	$1,023.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,737.80 / $1,949.84 / $4,073.80	Professional	TC	$1,737.80	$1,949.84	$4,073.80