Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $489.78	Professional		$61.66	$131.83	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $61.66 / $109.65	Professional	26	$19.95	$61.66	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $169.82	Professional	TC	$26.92	$40.74	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $309.03	Professional		$112.20	$234.42	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $131.83	Professional	26	$61.66	$107.15	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $158.49 / $190.55	Professional	TC	$51.29	$158.49	$190.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $269.15	Professional		$85.11	$234.42	$269.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $107.15 / $131.83	Professional	26	$47.86	$107.15	$131.83
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $158.49 / $158.49	Professional	TC	$37.15	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $331.13	Professional		$91.20	$158.49	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $83.18 / $158.49	Professional	26	$44.67	$83.18	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $63.10 / $190.55	Professional	TC	$38.02	$63.10	$190.55