Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.69 / $229.69 / $229.69	Facility		$229.69	$229.69	$229.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.39 / $64.39 / $64.39	Facility	26	$64.39	$64.39	$64.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $225.03 / $229.69	Professional		$155.94	$225.03	$229.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $61.49 / $64.39	Professional	26	$40.39	$61.49	$64.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.54 / $163.53 / $165.30	Professional	TC	$115.54	$163.53	$165.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $242.58 / $548.15	Professional		$211.96	$242.58	$548.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $60.75 / $145.47	Professional	26	$53.08	$60.75	$145.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.86 / $158.86 / $181.81	Professional	TC	$158.86	$158.86	$181.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.33 / $247.21 / $548.15	Professional		$128.33	$247.21	$548.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $71.36 / $145.47	Professional	26	$30.87	$71.36	$145.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.46 / $175.66 / $283.45	Professional	TC	$97.46	$175.66	$283.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $251.48 / $445.67	Professional		$186.11	$251.48	$445.67
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $73.06 / $96.89	Professional	26	$54.82	$73.06	$96.89
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $130.66 / $176.54 / $248.05	Professional	TC	$130.66	$176.54	$248.05
United Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $311.79 / $672.80	Professional		$237.15	$311.79	$672.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $88.65 / $171.83	Professional	26	$59.11	$88.65	$171.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.04 / $223.10 / $494.24	Professional	TC	$178.04	$223.10	$494.24