Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $522.50	Professional		$375.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.50 / $297.50 / $368.50	Professional	TC	$262.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $506.02 / $506.02 / $506.02	Facility	26	$506.02	$506.02	$506.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.58 / $773.35 / $1,349.40	Professional		$685.58	$773.35	$1,349.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.81 / $128.26 / $344.39	Professional	26	$108.81	$128.26	$344.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $567.13 / $567.13 / $569.83	Professional	TC	$567.13	$567.13	$569.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.11 / $797.88 / $1,349.40	Professional		$461.11	$797.88	$1,349.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.38 / $121.15 / $344.39	Professional	26	$107.38	$121.15	$344.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $339.96 / $506.45 / $1,285.56	Professional	TC	$339.96	$506.45	$1,285.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $461.11 / $797.88 / $1,349.40	Professional		$461.11	$797.88	$1,349.40
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $112.45 / $121.15 / $344.39	Professional	26	$112.45	$121.15	$344.39
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $339.96 / $506.45 / $801.52	Professional	TC	$339.96	$506.45	$801.52
United Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $736.97 / $1,342.31	Professional		$357.29	$736.97	$1,342.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.35 / $122.65 / $366.35	Professional	26	$84.35	$122.65	$366.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.61 / $548.88 / $1,069.06	Professional	TC	$265.61	$548.88	$1,069.06