Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $255.63 / $258.89	Professional		$255.63	$255.63	$258.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $24.58 / $24.58	Professional	26	$23.33	$24.58	$24.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.06 / $231.06 / $235.56	Professional	TC	$231.06	$231.06	$235.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.66 / $31.66 / $31.66	Facility	26	$31.66	$31.66	$31.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.68 / $305.68 / $948.20	Professional		$305.68	$305.68	$948.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.78 / $28.78 / $97.55	Professional	26	$28.78	$28.78	$97.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.05 / $276.05 / $276.05	Professional	TC	$276.05	$276.05	$276.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $347.15 / $948.20	Professional		$312.95	$347.15	$948.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $33.59 / $97.55	Professional	26	$32.46	$33.59	$97.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.43 / $308.02 / $690.09	Professional	TC	$279.43	$308.02	$690.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $347.15 / $948.20	Professional		$312.95	$347.15	$948.20
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $33.59 / $97.55	Professional	26	$32.46	$33.59	$97.55
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $279.43 / $314.10 / $690.09	Professional	TC	$279.43	$314.10	$690.09
United Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $347.66 / $517.85	Professional		$244.46	$347.66	$517.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.85 / $37.14 / $103.77	Professional	26	$23.85	$37.14	$103.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.61 / $330.17 / $464.57	Professional	TC	$220.61	$330.17	$464.57