Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $933.25	Professional		$371.54	$478.63	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $512.86	Professional	26	$85.11	$141.25	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $851.14	Professional	TC	$257.04	$363.08	$851.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,513.56	Professional		$660.69	$660.69	$1,513.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $354.81	Professional	26	$112.20	$112.20	$354.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $549.54 / $630.96	Professional	TC	$549.54	$549.54	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $1,479.11	Professional		$457.09	$776.25	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $125.89 / $269.15	Professional	26	$107.15	$125.89	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $676.08 / $1,230.27	Professional	TC	$354.81	$676.08	$1,230.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,513.56	Professional		$426.58	$426.58	$1,513.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $354.81	Professional	26	$89.13	$89.13	$354.81
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	TC	$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,202.26	Professional		$380.19	$741.31	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $288.40	Professional	26	$87.10	$117.49	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $478.63 / $912.01	Professional	TC	$295.12	$478.63	$912.01