Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $151.36 / $316.23	Facility		$144.54	$151.36	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $281.84	Professional		$77.62	$107.15	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $107.15 / $354.81	Professional	26	$25.70	$107.15	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $83.18 / $213.80	Professional	TC	$56.23	$83.18	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $138.04	Professional		$117.49	$117.49	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $158.49	Professional		$107.15	$134.90	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $109.65	Professional	26	$25.12	$37.15	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $100.00 / $123.03	Professional	TC	$83.18	$100.00	$123.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $158.49	Professional		$95.50	$112.20	$158.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.70 / $37.15	Professional	26	$25.12	$25.70	$37.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $123.03	Professional	TC	$67.61	$87.10	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $338.84	Professional		$64.57	$107.15	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $27.54 / $77.62	Professional	26	$16.60	$27.54	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $79.43 / $263.03	Professional	TC	$47.86	$79.43	$263.03