Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.43 / $357.43 / $379.91	Professional		$357.43	$357.43	$379.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $68.40 / $68.40	Professional	26	$66.45	$68.40	$68.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $289.02 / $289.02 / $313.45	Professional	TC	$289.02	$289.02	$313.45
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $386.25 / $386.25 / $386.25	Facility	26	$386.25	$386.25	$386.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.09 / $435.09 / $1,346.02	Professional		$435.09	$435.09	$1,346.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.39 / $87.39 / $87.39	Professional	26	$87.39	$87.39	$87.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $353.14 / $353.14 / $353.14	Professional	TC	$353.14	$353.14	$353.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.55 / $479.42 / $1,346.02	Professional		$436.55	$479.42	$1,346.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.50 / $92.18 / $268.12	Professional	26	$90.50	$92.18	$268.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $343.75 / $356.38 / $931.00	Professional	TC	$343.75	$356.38	$931.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.55 / $479.42 / $1,346.02	Professional		$436.55	$479.42	$1,346.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $90.50 / $92.18 / $268.12	Professional	26	$90.50	$92.18	$268.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $343.75 / $387.33 / $931.00	Professional	TC	$343.75	$387.33	$931.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.80 / $564.25 / $910.73	Professional		$355.80	$564.25	$910.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.44 / $135.58 / $216.56	Professional	26	$87.44	$135.58	$216.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.35 / $408.13 / $694.17	Professional	TC	$257.35	$408.13	$694.17