Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $466.05 / $466.05	Professional		$388.06	$466.05	$466.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $93.21 / $93.21	Professional	26	$77.61	$93.21	$93.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $310.45 / $372.84 / $372.84	Professional	TC	$310.45	$372.84	$372.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $105.06 / $105.06 / $105.06	Facility	26	$105.06	$105.06	$105.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.73 / $529.73 / $529.73	Professional		$529.73	$529.73	$529.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.96 / $569.98 / $1,029.86	Professional		$549.96	$569.98	$1,029.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.60 / $107.76 / $306.91	Professional	26	$103.60	$107.76	$306.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $444.61 / $464.47 / $856.19	Professional	TC	$444.61	$464.47	$856.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $549.96 / $569.98 / $1,029.86	Professional		$549.96	$569.98	$1,029.86
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $103.60 / $107.76 / $306.91	Professional	26	$103.60	$107.76	$306.91
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $444.61 / $464.47 / $856.19	Professional	TC	$444.61	$464.47	$856.19
United Facility/Professional Professional Modifier Low / Median / High Price $390.22 / $587.64 / $948.35	Professional		$390.22	$587.64	$948.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.18 / $125.58 / $188.35	Professional	26	$79.18	$125.58	$188.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $311.04 / $494.31 / $780.73	Professional	TC	$311.04	$494.31	$780.73