Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $218.78 / $398.11	Professional		$91.20	$218.78	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $85.11 / $257.04	Professional	26	$37.15	$85.11	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $181.97	Professional	TC	$56.23	$79.43	$181.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $154.88	Professional		$131.83	$154.88	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $66.07 / $66.07	Professional	26	$56.23	$66.07	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $100.00 / $100.00	Professional	TC	$85.11	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $467.74	Professional		$138.04	$173.78	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $58.88 / $169.82	Professional	26	$28.84	$58.88	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $100.00 / $251.19	Professional	TC	$87.10	$100.00	$251.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $467.74	Professional		$114.82	$117.49	$467.74
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $44.67 / $169.82	Professional	26	$41.69	$44.67	$169.82
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $72.44 / $85.11	Professional	TC	$72.44	$72.44	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $295.12	Professional		$109.65	$128.82	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $109.65	Professional	26	$41.69	$48.98	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $75.86 / $169.82	Professional	TC	$66.07	$75.86	$169.82