Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $912.01	Professional		$281.84	$338.84	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $234.42 / $602.56	Professional	26	$173.78	$234.42	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $120.23 / $190.55	Professional	TC	$97.72	$120.23	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,047.13	Professional		$724.44	$724.44	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $691.83	Professional		$371.54	$407.38	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $257.04 / $426.58	Professional	26	$223.87	$257.04	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $151.36 / $218.78	Professional	TC	$144.54	$151.36	$218.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $1,047.13	Professional		$363.08	$426.58	$1,047.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $263.03 / $660.69	Professional	26	$223.87	$263.03	$660.69
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $162.18 / $162.18	Professional	TC	$134.90	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $1,258.93	Professional		$398.11	$457.09	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $281.84 / $794.33	Professional	26	$229.09	$281.84	$794.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $173.78 / $467.74	Professional	TC	$151.36	$173.78	$467.74