Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.01 / $309.01 / $329.43	Professional		$309.01	$309.01	$329.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.69 / $51.98 / $51.98	Professional	26	$50.69	$51.98	$51.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.02 / $257.02 / $278.72	Professional	TC	$257.02	$257.02	$278.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $297.02 / $297.02 / $297.02	Facility	26	$297.02	$297.02	$297.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.19 / $394.19 / $1,375.89	Professional		$394.19	$394.19	$1,375.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.29 / $65.29 / $199.38	Professional	26	$65.29	$65.29	$199.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $336.70 / $336.70 / $336.70	Professional	TC	$336.70	$336.70	$336.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.60 / $490.25 / $1,375.89	Professional		$402.60	$490.25	$1,375.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.36 / $68.53 / $199.38	Professional	26	$63.36	$68.53	$199.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $339.24 / $385.56 / $979.40	Professional	TC	$339.24	$385.56	$979.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $402.60 / $490.25 / $1,375.89	Professional		$402.60	$490.25	$1,375.89
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $63.36 / $68.53 / $199.38	Professional	26	$63.36	$68.53	$199.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $339.24 / $421.90 / $979.40	Professional	TC	$339.24	$421.90	$979.40
United Facility/Professional Professional Modifier Low / Median / High Price $305.44 / $427.13 / $751.43	Professional		$305.44	$427.13	$751.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $68.44 / $108.89	Professional	26	$49.44	$68.44	$108.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.00 / $396.00 / $642.54	Professional	TC	$256.00	$396.00	$642.54