Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,778.28	Professional		$288.40	$489.78	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $125.89 / $512.86	Professional	26	$63.10	$125.89	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $338.84 / $537.03	Professional	TC	$177.83	$338.84	$537.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,096.48	Professional		$338.84	$338.84	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $239.88	Professional	26	$75.86	$75.86	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $302.00	Professional	TC	$257.04	$257.04	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $707.95 / $1,445.44	Professional		$295.12	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $177.83	Professional	26	$72.44	$83.18	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $537.03 / $1,288.25	Professional	TC	$229.09	$537.03	$1,288.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $954.99	Professional		$407.38	$407.38	$954.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $239.88	Professional	26	$60.26	$60.26	$239.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $891.25	Professional		$239.88	$524.81	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $190.55	Professional	26	$58.88	$79.43	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $371.54 / $758.58	Professional	TC	$181.97	$371.54	$758.58