Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $2,290.87	Professional		$371.54	$602.56	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $165.96 / $398.11	Professional	26	$100.00	$165.96	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $436.52 / $1,258.93	Professional	TC	$263.03	$436.52	$1,258.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $1,819.70	Professional		$489.78	$562.34	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $141.25 / $436.52	Professional	26	$141.25	$141.25	$436.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $354.81 / $407.38	Professional	TC	$354.81	$354.81	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $1,862.09	Professional		$467.74	$1,071.52	$1,862.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $154.88 / $338.84	Professional	26	$134.90	$154.88	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $776.25 / $1,584.89	Professional	TC	$331.13	$776.25	$1,584.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,513.56	Professional		$524.81	$524.81	$1,513.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $436.52	Professional	26	$112.20	$112.20	$436.52
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,584.89	Professional		$389.05	$794.33	$1,584.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $147.91 / $354.81	Professional	26	$107.15	$147.91	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $549.54 / $1,202.26	Professional	TC	$275.42	$549.54	$1,202.26