Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $208.93	Professional		$100.00	$141.25	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $45.71 / $104.71	Professional	26	$26.30	$45.71	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $102.33 / $144.54	Professional	TC	$74.13	$102.33	$144.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $602.56	Professional		$154.88	$181.97	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $177.83	Professional	26	$51.29	$51.29	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $107.15 / $125.89	Professional	TC	$107.15	$107.15	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $426.58	Professional		$154.88	$186.21	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $125.89	Professional	26	$44.67	$54.95	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $138.04 / $309.03	Professional	TC	$109.65	$138.04	$309.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $602.56	Professional		$131.83	$131.83	$602.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $177.83	Professional	26	$34.67	$34.67	$177.83
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $478.63	Professional		$141.25	$169.82	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $53.70 / $144.54	Professional	26	$43.65	$53.70	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $114.82 / $338.84	Professional	TC	$89.13	$114.82	$338.84