Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $72.91 / $75.63	Professional		$72.91	$72.91	$75.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.61 / $32.33 / $32.33	Professional	26	$31.61	$32.33	$32.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $40.58 / $44.02	Professional	TC	$40.58	$40.58	$44.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $182.44 / $182.44 / $182.44	Facility	26	$182.44	$182.44	$182.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $91.12 / $278.57	Professional		$91.12	$91.12	$278.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.64 / $40.64 / $137.74	Professional	26	$40.64	$40.64	$137.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.27 / $50.27 / $50.27	Professional	TC	$50.27	$50.27	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $96.16 / $278.57	Professional		$88.88	$96.16	$278.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.40 / $44.22 / $137.74	Professional	26	$42.40	$44.22	$137.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.44 / $48.63 / $76.69	Professional	TC	$45.44	$48.63	$76.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $96.16 / $278.57	Professional		$88.88	$96.16	$278.57
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $42.40 / $44.22 / $137.74	Professional	26	$42.40	$44.22	$137.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $45.44 / $48.63 / $76.69	Professional	TC	$45.44	$48.63	$76.69
United Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $106.64 / $296.33	Professional		$70.18	$106.64	$296.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $42.92 / $146.52	Professional	26	$30.95	$42.92	$146.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $65.25 / $149.81	Professional	TC	$39.22	$65.25	$149.81