Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $186.21 / $354.81	Facility		$79.43	$186.21	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $128.82	Professional		$70.79	$95.50	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $72.44 / $446.68	Professional	26	$26.92	$72.44	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $338.84	Professional	TC	$42.66	$63.10	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $354.81	Professional		$117.49	$117.49	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $354.81	Professional		$102.33	$147.91	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $51.29 / $120.23	Professional	26	$33.11	$51.29	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $72.44 / $102.33	Professional	TC	$69.18	$72.44	$102.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $151.36	Professional		$102.33	$104.71	$151.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.88 / $48.98	Professional	26	$33.11	$33.88	$48.98
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $72.44 / $102.33	Professional	TC	$69.18	$72.44	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $302.00	Professional		$64.57	$120.23	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $102.33	Professional	26	$21.88	$37.15	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $70.79 / $199.53	Professional	TC	$42.66	$70.79	$199.53