Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $41.62 / $42.13	Professional		$35.95	$41.62	$42.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $11.90 / $12.30	Professional	26	$10.36	$11.90	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $29.32 / $30.60	Professional	TC	$25.57	$29.32	$30.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.70 / $586.74 / $913.25	Facility		$447.70	$586.74	$913.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $56.63 / $176.03	Professional		$48.04	$56.63	$176.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $13.78 / $45.18	Professional	26	$13.78	$13.78	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.96 / $33.96 / $40.03	Professional	TC	$33.96	$33.96	$40.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $740.03	Facility		$268.14	$268.14	$740.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $60.39 / $176.03	Professional		$51.50	$60.39	$176.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $15.63 / $45.18	Professional	26	$15.20	$15.63	$45.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $43.96 / $70.26	Professional	TC	$36.27	$43.96	$70.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $740.03	Facility		$268.14	$268.14	$740.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $60.39 / $176.03	Professional		$51.50	$60.39	$176.03
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $15.53 / $45.18	Professional	26	$15.20	$15.53	$45.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $38.26 / $64.53	Professional	TC	$36.27	$38.26	$64.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $58.90 / $187.25	Professional		$39.90	$58.90	$187.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $15.99 / $42.83	Professional	26	$11.89	$15.99	$42.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.02 / $40.53 / $139.19	Professional	TC	$28.02	$40.53	$139.19