Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.34 / $480.46 / $597.16	Professional		$474.34	$480.46	$597.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.51 / $43.77 / $53.22	Professional	26	$41.51	$43.77	$53.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $430.57 / $438.96 / $543.92	Professional	TC	$430.57	$438.96	$543.92
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $59.28 / $59.28 / $59.28	Facility	26	$59.28	$59.28	$59.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.10 / $564.10 / $1,735.47	Professional		$564.10	$564.10	$1,735.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.10 / $52.10 / $176.45	Professional	26	$52.10	$52.10	$176.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $510.31 / $510.31 / $510.31	Professional	TC	$510.31	$510.31	$510.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.46 / $645.54 / $1,735.47	Professional		$570.46	$645.54	$1,735.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.82 / $60.82 / $176.45	Professional	26	$57.82	$60.82	$176.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $509.82 / $571.82 / $1,525.27	Professional	TC	$509.82	$571.82	$1,525.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $570.46 / $645.54 / $1,735.47	Professional		$570.46	$645.54	$1,735.47
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $57.82 / $60.82 / $176.45	Professional	26	$57.82	$60.82	$176.45
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $509.82 / $585.49 / $1,525.27	Professional	TC	$509.82	$585.49	$1,525.27
United Facility/Professional Professional Modifier Low / Median / High Price $453.45 / $679.31 / $947.82	Professional		$453.45	$679.31	$947.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.49 / $63.24 / $96.37	Professional	26	$42.49	$63.24	$96.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $410.96 / $635.12 / $851.45	Professional	TC	$410.96	$635.12	$851.45