Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $3,388.44	Professional		$354.81	$537.03	$3,388.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $173.78 / $478.63	Professional	26	$104.71	$173.78	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $1,318.26	Professional	TC	$239.88	$371.54	$1,318.26
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	26	$758.58	$758.58	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,819.70	Professional		$512.86	$512.86	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $162.18 / $457.09	Professional	26	$162.18	$162.18	$457.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $398.11	Professional	TC	$346.74	$346.74	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,000.00 / $1,659.59	Professional		$436.52	$1,000.00	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $173.78 / $380.19	Professional	26	$138.04	$173.78	$380.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $707.95 / $1,380.38	Professional	TC	$302.00	$707.95	$1,380.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,412.54	Professional		$398.11	$398.11	$1,412.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $457.09	Professional	26	$114.82	$114.82	$457.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $758.58 / $1,584.89	Professional		$363.08	$758.58	$1,584.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $162.18 / $371.54	Professional	26	$112.20	$162.18	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $501.19 / $1,174.90	Professional	TC	$251.19	$501.19	$1,174.90