Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $426.47 / $426.47 / $426.47	Facility	26	$426.47	$426.47	$426.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $1,099.00	Professional		$276.45	$276.45	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $91.58 / $291.26	Professional	26	$91.58	$91.58	$291.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.87 / $184.87 / $211.57	Professional	TC	$184.87	$184.87	$211.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $510.07 / $870.27	Professional		$298.20	$510.07	$870.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.82 / $102.14 / $291.26	Professional	26	$90.82	$102.14	$291.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.06 / $345.09 / $940.38	Professional	TC	$196.06	$345.09	$940.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $510.07 / $870.27	Professional		$298.20	$510.07	$870.27
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $94.77 / $102.14 / $291.26	Professional	26	$94.77	$102.14	$291.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $196.06 / $345.09 / $592.51	Professional	TC	$196.06	$345.09	$592.51
United Facility/Professional Professional Modifier Low / Median / High Price $228.81 / $475.30 / $925.74	Professional		$228.81	$475.30	$925.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $103.63 / $309.83	Professional	26	$71.31	$103.63	$309.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.74 / $316.22 / $647.03	Professional	TC	$153.74	$316.22	$647.03