Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $112.20	Professional		$34.67	$48.98	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $58.88	Professional	26	$12.88	$18.20	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $79.43	Professional	TC	$21.88	$33.11	$79.43
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $660.69 / $660.69 / $724.44	Facility	TC	$660.69	$660.69	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $190.55	Professional		$61.66	$61.66	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $151.36	Professional		$58.88	$64.57	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.99 / $52.48	Professional	26	$19.50	$23.99	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $44.67 / $100.00	Professional	TC	$38.02	$44.67	$100.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $190.55	Professional		$48.98	$48.98	$190.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $17.38 / $56.23	Professional	26	$17.38	$17.38	$56.23
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	TC	$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $154.88	Professional		$45.71	$67.61	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $20.42 / $45.71	Professional	26	$14.79	$20.42	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $41.69 / $107.15	Professional	TC	$29.51	$41.69	$107.15