Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $534.17 / $682.00	Professional		$500.94	$534.17	$682.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.65 / $80.89 / $117.25	Professional	26	$78.65	$80.89	$117.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $420.05 / $455.53 / $564.75	Professional	TC	$420.05	$455.53	$564.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $458.41 / $458.41 / $458.41	Facility	26	$458.41	$458.41	$458.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $606.48 / $1,865.98	Professional		$606.48	$606.48	$1,865.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.57 / $102.57 / $316.94	Professional	26	$102.57	$102.57	$316.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $510.13 / $510.13 / $510.13	Professional	TC	$510.13	$510.13	$510.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $667.97 / $1,865.98	Professional		$613.16	$667.97	$1,865.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.73 / $108.69 / $316.94	Professional	26	$106.73	$108.69	$316.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $503.04 / $508.61 / $1,343.51	Professional	TC	$503.04	$508.61	$1,343.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $667.97 / $1,865.98	Professional		$613.16	$667.97	$1,865.98
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $106.73 / $108.69 / $316.94	Professional	26	$106.73	$108.69	$316.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $503.04 / $559.76 / $1,343.51	Professional	TC	$503.04	$559.76	$1,343.51
United Facility/Professional Professional Modifier Low / Median / High Price $552.37 / $875.99 / $1,266.66	Professional		$552.37	$875.99	$1,266.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.08 / $144.54 / $251.39	Professional	26	$103.08	$144.54	$251.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $434.27 / $688.70 / $1,015.27	Professional	TC	$434.27	$688.70	$1,015.27