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 $560.10 / $560.10 / $560.10	Facility	26	$560.10	$560.10	$560.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.58 / $1,099.00 / $1,223.55	Professional		$421.58	$1,099.00	$1,223.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.11 / $138.60 / $357.30	Professional	26	$121.11	$138.60	$357.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.47 / $300.47 / $343.87	Professional	TC	$300.47	$300.47	$343.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $715.14 / $1,223.55	Professional		$419.82	$715.14	$1,223.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.16 / $126.23 / $357.30	Professional	26	$116.16	$126.23	$357.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.58 / $323.74 / $970.31	Professional	TC	$293.58	$323.74	$970.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $715.14 / $1,223.55	Professional		$419.82	$715.14	$1,223.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $116.16 / $126.23 / $357.30	Professional	26	$116.16	$126.23	$357.30
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $293.58 / $323.74 / $738.85	Professional	TC	$293.58	$323.74	$738.85
United Facility/Professional Professional Modifier Low / Median / High Price $320.48 / $668.24 / $1,203.10	Professional		$320.48	$668.24	$1,203.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $126.70 / $380.07	Professional	26	$91.67	$126.70	$380.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $473.10 / $921.47	Professional	TC	$228.81	$473.10	$921.47