Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $350.49 / $350.49	Professional		$346.30	$350.49	$350.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $36.25 / $36.25	Professional	26	$34.39	$36.25	$36.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $310.05 / $316.08 / $316.08	Professional	TC	$310.05	$316.08	$316.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.10 / $49.10 / $49.10	Facility	26	$49.10	$49.10	$49.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $412.26 / $1,291.45	Professional		$412.26	$412.26	$1,291.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.15 / $43.15 / $144.93	Professional	26	$43.15	$43.15	$144.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $369.11 / $369.11 / $369.11	Professional	TC	$369.11	$369.11	$369.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.81 / $476.05 / $1,291.45	Professional		$424.81	$476.05	$1,291.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.00 / $144.93	Professional	26	$47.86	$50.00	$144.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $375.01 / $417.95 / $1,113.83	Professional	TC	$375.01	$417.95	$1,113.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $424.81 / $476.05 / $1,291.45	Professional		$424.81	$476.05	$1,291.45
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.00 / $144.93	Professional	26	$47.86	$50.00	$144.93
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $375.01 / $426.86 / $1,113.83	Professional	TC	$375.01	$426.86	$1,113.83
United Facility/Professional Professional Modifier Low / Median / High Price $331.09 / $496.09 / $705.32	Professional		$331.09	$496.09	$705.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.17 / $51.51 / $79.16	Professional	26	$35.17	$51.51	$79.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.92 / $442.89 / $626.16	Professional	TC	$295.92	$442.89	$626.16