Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $329.25 / $353.77	Professional		$267.55	$329.25	$353.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.83 / $68.40	Professional	26	$50.07	$58.83	$68.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.46 / $270.75 / $285.37	Professional	TC	$217.46	$270.75	$285.37
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 $374.94 / $1,022.95 / $1,599.00	Professional		$374.94	$1,022.95	$1,599.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.04 / $87.28 / $230.98	Professional	26	$74.04	$87.28	$230.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $299.48 / $299.48 / $299.48	Professional	TC	$299.48	$299.48	$299.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.01 / $439.51 / $1,022.95	Professional		$300.01	$439.51	$1,022.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.14 / $81.34 / $230.98	Professional	26	$72.14	$81.34	$230.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.49 / $265.11 / $569.08	Professional	TC	$224.49	$265.11	$569.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.01 / $419.01 / $1,022.95	Professional		$300.01	$419.01	$1,022.95
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $75.52 / $81.34 / $230.98	Professional	26	$75.52	$81.34	$230.98
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $224.49 / $265.11 / $418.88	Professional	TC	$224.49	$265.11	$418.88
United Facility/Professional Professional Modifier Low / Median / High Price $270.35 / $480.71 / $924.30	Professional		$270.35	$480.71	$924.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.24 / $81.98 / $245.70	Professional	26	$56.24	$81.98	$245.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.58 / $389.99 / $842.45	Professional	TC	$186.58	$389.99	$842.45