Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $954.99	Professional		$109.65	$251.19	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $83.18 / $173.78	Professional	26	$40.74	$83.18	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $181.97 / $794.33	Professional	TC	$97.72	$181.97	$794.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $1,096.48	Professional		$295.12	$331.13	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $83.18 / $169.82	Professional	26	$70.79	$83.18	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $630.96	Professional		$173.78	$363.08	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $169.82	Professional	26	$51.29	$75.86	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $281.84 / $489.78	Professional	TC	$120.23	$281.84	$489.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $562.34	Professional		$208.93	$208.93	$562.34
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $169.82	Professional	26	$57.54	$57.54	$169.82
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	TC	$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $457.09	Professional		$138.04	$295.12	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $60.26 / $138.04	Professional	26	$41.69	$60.26	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $204.17 / $331.13	Professional	TC	$95.50	$204.17	$331.13