Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $524.81	Professional		$194.98	$346.74	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $104.71 / $234.42	Professional	26	$53.70	$104.71	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $257.04 / $354.81	Professional	TC	$141.25	$257.04	$354.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $1,584.89	Professional		$371.54	$371.54	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $223.87	Professional	26	$87.10	$87.10	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $316.23	Professional	TC	$281.84	$281.84	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $870.96	Professional		$245.47	$501.19	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $204.17	Professional	26	$67.61	$95.50	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $398.11 / $812.83	Professional	TC	$177.83	$398.11	$812.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $794.33	Professional		$295.12	$295.12	$794.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $223.87	Professional	26	$69.18	$69.18	$223.87
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $724.44	Professional		$218.78	$416.87	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $181.97	Professional	26	$54.95	$79.43	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $295.12 / $562.34	Professional	TC	$165.96	$295.12	$562.34