Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.48 / $273.48 / $273.48	Facility		$273.48	$273.48	$273.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.08 / $103.08 / $103.08	Facility	26	$103.08	$103.08	$103.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $273.48 / $295.77	Professional		$87.31	$273.48	$295.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.20 / $103.08 / $109.87	Professional	26	$50.20	$103.08	$109.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $170.40 / $185.90	Professional	TC	$37.11	$170.40	$185.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $152.12 / $310.39	Professional		$66.95	$152.12	$310.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $85.97 / $131.36	Professional	26	$37.72	$85.97	$131.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.25 / $66.15 / $189.18	Professional	TC	$29.25	$66.15	$189.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $232.37 / $310.39	Professional		$107.55	$232.37	$310.39
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $105.99 / $131.36	Professional	26	$60.64	$105.99	$131.36
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $159.25 / $189.18	Professional	TC	$46.92	$159.25	$189.18
United Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $280.77 / $330.72	Professional		$95.55	$280.77	$330.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $102.68 / $157.32	Professional	26	$54.00	$102.68	$157.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.55 / $120.79 / $188.69	Professional	TC	$41.55	$120.79	$188.69