Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $524.81	Facility		$407.38	$489.78	$524.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	TC	$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $81.28	Professional		$15.85	$28.84	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $33.11	Professional	26	$7.08	$9.77	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $18.20 / $45.71	Professional	TC	$7.94	$18.20	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $251.19 / $416.87	Facility		$229.09	$251.19	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $109.65	Professional		$27.54	$27.54	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.18 / $36.31	Professional	26	$11.22	$13.18	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $17.38 / $20.89	Professional	TC	$17.38	$17.38	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $389.05	Facility		$218.78	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $77.62	Professional		$25.70	$33.88	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $12.88 / $27.54	Professional	26	$11.75	$12.88	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $19.95 / $43.65	Professional	TC	$13.80	$19.95	$43.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $109.65	Professional		$21.88	$21.88	$109.65
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.12 / $36.31	Professional	26	$9.12	$9.12	$36.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $12.88 / $12.88	Professional	TC	$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $89.13	Professional		$25.70	$30.90	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.88 / $28.84	Professional	26	$9.33	$12.88	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.50 / $60.26	Professional	TC	$15.14	$19.50	$60.26