Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $626.92 / $626.92 / $626.92	Facility	26	$626.92	$626.92	$626.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.46 / $1,509.02 / $1,799.00	Professional		$485.46	$1,509.02	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.30 / $154.84 / $426.84	Professional	26	$135.30	$154.84	$426.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $350.16 / $350.16 / $400.74	Professional	TC	$350.16	$350.16	$400.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.73 / $883.56 / $1,509.02	Professional		$516.73	$883.56	$1,509.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.84 / $151.08 / $426.84	Professional	26	$132.84	$151.08	$426.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.66 / $530.09 / $1,273.65	Professional	TC	$365.66	$530.09	$1,273.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $516.73 / $883.56 / $1,509.02	Professional		$516.73	$883.56	$1,509.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $138.41 / $151.08 / $426.84	Professional	26	$138.41	$151.08	$426.84
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $365.66 / $530.09 / $996.74	Professional	TC	$365.66	$530.09	$996.74
United Facility/Professional Professional Modifier Low / Median / High Price $435.09 / $790.10 / $1,605.20	Professional		$435.09	$790.10	$1,605.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.88 / $151.51 / $454.05	Professional	26	$103.88	$151.51	$454.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $591.02 / $1,204.14	Professional	TC	$286.19	$591.02	$1,204.14