Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $269.15 / $549.54	Professional		$112.20	$269.15	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $93.33 / $173.78	Professional	26	$38.02	$93.33	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $302.00	Professional	TC	$72.44	$104.71	$302.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $446.68	Professional		$177.83	$208.93	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $177.83	Professional	26	$64.57	$75.86	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $138.04 / $138.04	Professional	TC	$117.49	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $575.44	Professional		$181.97	$223.87	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $69.18 / $199.53	Professional	26	$33.11	$69.18	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $128.82 / $323.59	Professional	TC	$120.23	$128.82	$323.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $575.44	Professional		$141.25	$144.54	$575.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $52.48 / $199.53	Professional	26	$47.86	$52.48	$199.53
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $93.33 / $107.15	Professional	TC	$91.20	$93.33	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $371.54	Professional		$141.25	$169.82	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $128.82	Professional	26	$48.98	$57.54	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $107.15 / $218.78	Professional	TC	$87.10	$107.15	$218.78