Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.28 / $406.28 / $1,876.56	Professional		$406.28	$406.28	$1,876.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.84 / $142.36 / $560.90	Professional	26	$53.84	$142.36	$560.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.65 / $263.92 / $1,315.67	Professional	TC	$207.65	$263.92	$1,315.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $574.78 / $1,346.09	Professional		$338.47	$574.78	$1,346.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.22 / $172.81 / $373.60	Professional	26	$106.22	$172.81	$373.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.36 / $350.66 / $550.71	Professional	TC	$235.36	$350.66	$550.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $430.30 / $574.78 / $1,346.09	Professional		$430.30	$574.78	$1,346.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $147.93 / $175.02 / $373.60	Professional	26	$147.93	$175.02	$373.60
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $282.37 / $379.24 / $550.71	Professional	TC	$282.37	$379.24	$550.71
United Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $497.38 / $1,652.18	Professional		$411.83	$497.38	$1,652.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $143.49 / $154.84 / $458.55	Professional	26	$143.49	$154.84	$458.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.83 / $345.88 / $1,193.63	Professional	TC	$258.83	$345.88	$1,193.63