Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.17 / $368.17 / $393.21	Professional		$368.17	$368.17	$393.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $54.83 / $54.83	Professional	26	$53.40	$54.83	$54.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $313.33 / $313.33 / $339.81	Professional	TC	$313.33	$313.33	$339.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $316.14 / $316.14 / $316.14	Facility	26	$316.14	$316.14	$316.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.38 / $446.38 / $1,514.56	Professional		$446.38	$446.38	$1,514.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.04 / $68.04 / $209.40	Professional	26	$68.04	$68.04	$209.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $370.52 / $370.52 / $370.52	Professional	TC	$370.52	$370.52	$370.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $495.52 / $1,514.56	Professional		$454.00	$495.52	$1,514.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $71.98 / $209.40	Professional	26	$68.17	$71.98	$209.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $385.83 / $421.93 / $948.21	Professional	TC	$385.83	$421.93	$948.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $491.51 / $1,514.56	Professional		$454.00	$491.51	$1,514.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $71.98 / $209.40	Professional	26	$68.17	$71.98	$209.40
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $385.83 / $421.93 / $948.21	Professional	TC	$385.83	$421.93	$948.21
United Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $518.20 / $827.17	Professional		$326.29	$518.20	$827.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.09 / $73.75 / $114.37	Professional	26	$53.09	$73.75	$114.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.20 / $446.11 / $712.80	Professional	TC	$273.20	$446.11	$712.80