Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.99 / $404.65 / $513.70	Professional		$316.99	$404.65	$513.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $91.56 / $107.00	Professional	26	$78.34	$91.56	$107.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.07 / $321.99 / $406.70	Professional	TC	$224.07	$321.99	$406.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $684.17 / $1,350.88	Professional		$580.41	$684.17	$1,350.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.28 / $682.47 / $1,350.88	Professional		$405.28	$682.47	$1,350.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.85 / $125.74 / $355.86	Professional	26	$112.85	$125.74	$355.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.89 / $338.95 / $886.78	Professional	TC	$288.89	$338.95	$886.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $405.28 / $649.63 / $1,350.88	Professional		$405.28	$649.63	$1,350.88
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $116.39 / $125.74 / $355.86	Professional	26	$116.39	$125.74	$355.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $288.89 / $338.95 / $590.40	Professional	TC	$288.89	$338.95	$590.40
United Facility/Professional Professional Modifier Low / Median / High Price $360.46 / $724.37 / $1,436.99	Professional		$360.46	$724.37	$1,436.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.08 / $126.69 / $378.54	Professional	26	$88.08	$126.69	$378.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.02 / $543.42 / $1,058.45	Professional	TC	$236.02	$543.42	$1,058.45