Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.75 / $272.73 / $293.30	Professional		$221.75	$272.73	$293.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $54.13 / $60.22	Professional	26	$44.14	$54.13	$60.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $233.08	Professional	TC	$177.61	$221.14	$233.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $340.53 / $340.53 / $340.53	Facility	26	$340.53	$340.53	$340.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $571.73 / $1,099.00	Professional		$200.36	$571.73	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.44 / $69.44 / $197.94	Professional	26	$69.44	$69.44	$197.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.91 / $130.91 / $149.83	Professional	TC	$130.91	$130.91	$149.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $352.46 / $571.73	Professional		$198.72	$352.46	$571.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $74.77 / $197.94	Professional	26	$69.22	$74.77	$197.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.77 / $180.54 / $485.26	Professional	TC	$128.77	$180.54	$485.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $352.46 / $571.73	Professional		$198.72	$352.46	$571.73
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $74.77 / $197.94	Professional	26	$69.22	$74.77	$197.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $128.77 / $180.54 / $305.86	Professional	TC	$128.77	$180.54	$305.86
United Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $296.05 / $592.99	Professional		$153.38	$296.05	$592.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $77.47 / $210.56	Professional	26	$51.25	$77.47	$210.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $204.15 / $397.62	Professional	TC	$117.50	$204.15	$397.62