Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $285.14 / $1,239.00	Professional		$252.32	$285.14	$1,239.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.50 / $99.12 / $372.50	Professional	26	$65.50	$99.12	$372.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.62 / $171.60 / $357.62	Professional	TC	$161.62	$171.60	$357.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.30 / $456.54 / $981.00	Professional		$387.30	$456.54	$981.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.73 / $114.73 / $129.41	Professional	26	$114.73	$114.73	$129.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $358.17 / $358.17 / $422.21	Professional	TC	$358.17	$358.17	$422.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $522.23 / $981.00	Professional		$292.89	$522.23	$981.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $115.70 / $197.94	Professional	26	$60.00	$115.70	$197.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.90 / $357.44 / $586.35	Professional	TC	$232.90	$357.44	$586.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $475.72 / $981.00	Professional		$292.89	$475.72	$981.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $115.70 / $197.94	Professional	26	$60.00	$115.70	$197.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $232.90 / $327.33 / $501.71	Professional	TC	$232.90	$327.33	$501.71
United Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $501.35 / $1,150.40	Professional		$282.58	$501.35	$1,150.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $120.32 / $234.35	Professional	26	$57.89	$120.32	$234.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.34 / $381.03 / $916.05	Professional	TC	$223.34	$381.03	$916.05