Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $130.99 / $792.95	Professional		$116.90	$130.99	$792.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.81 / $71.29 / $608.99	Professional	26	$65.81	$71.29	$608.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.09 / $52.43 / $183.96	Professional	TC	$51.09	$52.43	$183.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $182.73 / $482.56	Professional		$155.02	$182.73	$482.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $192.55 / $482.56	Professional		$145.25	$192.55	$482.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.37 / $122.78 / $363.18	Professional	26	$105.37	$122.78	$363.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.38 / $69.77 / $89.53	Professional	TC	$37.38	$69.77	$89.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $147.59 / $221.08	Professional		$109.63	$147.59	$221.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $83.45 / $107.87 / $131.56	Professional	26	$83.45	$107.87	$131.56
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.56 / $59.47 / $89.53	Professional	TC	$27.56	$59.47	$89.53
United Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $117.60 / $170.52	Professional		$73.38	$117.60	$170.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $102.27 / $257.55	Professional	26	$54.50	$102.27	$257.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $26.76 / $84.66	Professional	TC	$16.05	$26.76	$84.66