Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $115.03 / $117.76	Professional		$99.89	$115.03	$117.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $35.36 / $36.89	Professional	26	$31.21	$35.36	$36.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $78.91 / $81.98	Professional	TC	$68.67	$78.91	$81.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $155.97 / $477.27	Professional		$132.32	$155.97	$477.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $49.67 / $139.18	Professional	26	$42.14	$49.67	$139.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.18 / $90.18 / $106.31	Professional	TC	$90.18	$90.18	$106.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $157.88 / $477.27	Professional		$142.83	$157.88	$477.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $48.14 / $139.18	Professional	26	$46.19	$48.14	$139.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.64 / $104.99 / $187.29	Professional	TC	$96.64	$104.99	$187.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $157.88 / $477.27	Professional		$142.83	$157.88	$477.27
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $47.83 / $139.18	Professional	26	$46.19	$47.83	$139.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $96.64 / $102.02 / $167.51	Professional	TC	$96.64	$102.02	$167.51
United Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $166.45 / $507.69	Professional		$110.36	$166.45	$507.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.69 / $51.32 / $132.57	Professional	26	$35.69	$51.32	$132.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $109.83 / $281.81	Professional	TC	$74.70	$109.83	$281.81