Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,348.96	Professional		$245.47	$478.63	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $141.25 / $512.86	Professional	26	$69.18	$141.25	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $1,258.93	Professional	TC	$186.21	$338.84	$1,258.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	26	$398.11	$398.11	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,096.48	Professional		$323.59	$323.59	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $269.15	Professional	26	$85.11	$85.11	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $269.15	Professional	TC	$234.42	$234.42	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $707.95 / $1,230.27	Professional		$309.03	$707.95	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $93.33 / $199.53	Professional	26	$81.28	$93.33	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $537.03 / $1,047.13	Professional	TC	$229.09	$537.03	$1,047.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,000.00	Professional		$363.08	$363.08	$1,000.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $269.15	Professional	26	$67.61	$67.61	$269.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $870.96	Professional		$257.04	$524.81	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $213.80	Professional	26	$64.57	$87.10	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $380.19 / $758.58	Professional	TC	$190.55	$380.19	$758.58