Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $351.14 / $351.14 / $351.14	Facility	26	$351.14	$351.14	$351.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $313.02 / $1,090.51	Professional		$313.02	$313.02	$1,090.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.10 / $85.10 / $298.45	Professional	26	$85.10	$85.10	$298.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $227.92 / $227.92 / $260.83	Professional	TC	$227.92	$227.92	$260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $623.22 / $1,090.51	Professional		$376.10	$623.22	$1,090.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.09 / $102.74 / $298.45	Professional	26	$77.09	$102.74	$298.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.91 / $454.21 / $1,348.64	Professional	TC	$270.91	$454.21	$1,348.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $623.22 / $1,090.51	Professional		$376.10	$623.22	$1,090.51
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $80.13 / $102.74 / $298.45	Professional	26	$80.13	$102.74	$298.45
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $270.91 / $454.21 / $754.31	Professional	TC	$270.91	$454.21	$754.31
United Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $595.57 / $1,160.01	Professional		$279.33	$595.57	$1,160.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.03 / $97.58 / $284.33	Professional	26	$73.03	$97.58	$284.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.70 / $410.13 / $823.72	Professional	TC	$222.70	$410.13	$823.72