Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $499.46 / $517.91	Professional		$499.46	$499.46	$517.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $220.12 / $224.90 / $224.90	Professional	26	$220.12	$224.90	$224.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.57 / $274.57 / $297.79	Professional	TC	$274.57	$274.57	$297.79
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $1,316.14 / $1,316.14 / $1,316.14	Facility	26	$1,316.14	$1,316.14	$1,316.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.64 / $544.64 / $1,965.85	Professional		$544.64	$544.64	$1,965.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $252.27 / $252.27 / $947.73	Professional	26	$252.27	$252.27	$947.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.49 / $302.49 / $302.49	Professional	TC	$302.49	$302.49	$302.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.57 / $701.59 / $1,965.85	Professional		$628.57	$701.59	$1,965.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $299.58 / $309.24 / $947.73	Professional	26	$299.58	$309.24	$947.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $328.97 / $381.98 / $592.44	Professional	TC	$328.97	$381.98	$592.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $628.57 / $701.59 / $1,965.85	Professional		$628.57	$701.59	$1,965.85
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $299.58 / $309.24 / $947.73	Professional	26	$299.58	$309.24	$947.73
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $328.97 / $381.98 / $592.44	Professional	TC	$328.97	$381.98	$592.44
United Facility/Professional Professional Modifier Low / Median / High Price $478.56 / $684.32 / $1,073.64	Professional		$478.56	$684.32	$1,073.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $227.05 / $326.35 / $1,008.14	Professional	26	$227.05	$326.35	$1,008.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.51 / $369.82 / $1,083.01	Professional	TC	$251.51	$369.82	$1,083.01