Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.43 / $86.43 / $86.43	Facility	26	$86.43	$86.43	$86.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $151.37 / $155.85	Professional		$136.58	$151.37	$155.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $82.73 / $86.43	Professional	26	$77.62	$82.73	$86.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.96 / $68.64 / $69.43	Professional	TC	$58.96	$68.64	$69.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.65 / $338.65 / $490.85	Professional		$338.65	$338.65	$490.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $192.93 / $192.93 / $283.30	Professional	26	$192.93	$192.93	$283.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.08 / $140.08 / $145.72	Professional	TC	$140.08	$140.08	$145.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $194.06 / $490.85	Professional		$108.31	$194.06	$490.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.31 / $110.89 / $283.30	Professional	26	$60.31	$110.89	$283.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $88.15 / $147.24	Professional	TC	$48.00	$88.15	$147.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $197.09 / $330.72	Professional		$166.60	$197.09	$330.72
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $95.02 / $111.79 / $183.48	Professional	26	$95.02	$111.79	$183.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $73.50 / $85.30 / $116.29	Professional	TC	$73.50	$85.30	$116.29
United Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $211.69 / $602.46	Professional		$141.26	$211.69	$602.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.90 / $118.73 / $334.99	Professional	26	$105.90	$118.73	$334.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.48 / $92.96 / $254.74	Professional	TC	$92.48	$92.96	$254.74