Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $273.89 / $299.29	Professional		$165.99	$273.89	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $66.45 / $67.90	Professional	26	$56.82	$66.45	$67.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.22 / $209.28 / $232.83	Professional	TC	$97.22	$209.28	$232.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $387.11 / $387.11 / $387.11	Facility	26	$387.11	$387.11	$387.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $207.64 / $681.13	Professional		$181.43	$207.64	$681.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $375.15 / $375.15 / $375.15	Professional	26	$375.15	$375.15	$375.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $392.11 / $681.13	Professional		$233.99	$392.11	$681.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $129.29 / $375.15	Professional	26	$88.15	$129.29	$375.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.42 / $170.42 / $491.12	Professional	TC	$104.42	$170.42	$491.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $392.11 / $681.13	Professional		$233.99	$392.11	$681.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $129.29 / $375.15	Professional	26	$88.15	$129.29	$375.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $104.42 / $170.42 / $337.37	Professional	TC	$104.42	$170.42	$337.37
United Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $352.69 / $724.55	Professional		$196.11	$352.69	$724.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.13 / $133.13 / $356.63	Professional	26	$87.13	$133.13	$356.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.43 / $167.11 / $558.82	Professional	TC	$82.43	$167.11	$558.82