Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.94 / $2,515.67 / $3,876.12	Facility		$507.94	$2,515.67	$3,876.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.04 / $260.18 / $867.00	Professional		$210.04	$260.18	$867.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $75.05 / $267.00	Professional	26	$64.20	$75.05	$267.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.82 / $183.15 / $238.11	Professional	TC	$152.82	$183.15	$238.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.42 / $2,248.03 / $3,495.82	Facility		$516.42	$2,248.03	$3,495.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $321.58 / $721.90	Professional		$321.58	$321.58	$721.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.30 / $88.30 / $247.26	Professional	26	$88.30	$88.30	$247.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.29 / $233.29 / $274.99	Professional	TC	$233.29	$233.29	$274.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.38 / $431.22 / $721.90	Professional		$288.38	$431.22	$721.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.60 / $145.13 / $247.26	Professional	26	$87.60	$145.13	$247.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.79 / $278.67 / $368.89	Professional	TC	$189.79	$278.67	$368.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $315.30 / $431.22 / $721.90	Professional		$315.30	$431.22	$721.90
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.60 / $145.13 / $247.26	Professional	26	$87.60	$145.13	$247.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $227.70 / $278.67 / $337.81	Professional	TC	$227.70	$278.67	$337.81
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $374.37 / $857.14	Professional		$211.67	$374.37	$857.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $104.26 / $301.56	Professional	26	$75.06	$104.26	$301.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.19 / $246.35 / $555.58	Professional	TC	$137.19	$246.35	$555.58