Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $219.49 / $236.31	Professional		$178.59	$219.49	$236.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $43.22 / $49.81	Professional	26	$36.46	$43.22	$49.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.12 / $176.95 / $186.50	Professional	TC	$142.12	$176.95	$186.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $249.29 / $249.29 / $249.29	Facility	26	$249.29	$249.29	$249.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $467.33 / $1,099.00	Professional		$157.66	$467.33	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $63.02 / $169.26	Professional	26	$53.47	$63.02	$169.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.98 / $99.98 / $117.86	Professional	TC	$99.98	$99.98	$117.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $260.93 / $467.33	Professional		$153.19	$260.93	$467.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.94 / $59.81 / $169.26	Professional	26	$52.94	$59.81	$169.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.13 / $103.07 / $301.24	Professional	TC	$98.13	$103.07	$301.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $260.93 / $467.33	Professional		$153.19	$260.93	$467.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $55.06 / $59.81 / $169.26	Professional	26	$55.06	$59.81	$169.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $98.13 / $103.07 / $235.95	Professional	TC	$98.13	$103.07	$235.95
United Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $255.23 / $497.12	Professional		$129.02	$255.23	$497.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $55.34 / $161.25	Professional	26	$41.71	$55.34	$161.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $162.79 / $317.07	Professional	TC	$73.62	$162.79	$317.07