Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $467.81 / $467.81 / $467.81	Facility	26	$467.81	$467.81	$467.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.86 / $290.86 / $1,099.00	Professional		$290.86	$290.86	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.65 / $100.65 / $295.58	Professional	26	$100.65	$100.65	$295.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.20 / $190.20 / $217.67	Professional	TC	$190.20	$190.20	$217.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.16 / $491.41 / $843.11	Professional		$291.16	$491.41	$843.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.44 / $104.17 / $295.58	Professional	26	$96.44	$104.17	$295.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.99 / $205.70 / $641.08	Professional	TC	$186.99	$205.70	$641.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $291.16 / $491.41 / $843.11	Professional		$291.16	$491.41	$843.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $96.44 / $104.17 / $295.58	Professional	26	$96.44	$104.17	$295.58
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $186.99 / $205.70 / $612.22	Professional	TC	$186.99	$205.70	$612.22
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $460.46 / $896.85	Professional		$220.51	$460.46	$896.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $107.19 / $314.42	Professional	26	$76.15	$107.19	$314.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.36 / $421.56 / $668.55	Professional	TC	$144.36	$421.56	$668.55