Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $891.25	Professional		$151.36	$257.04	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $218.78	Professional	26	$57.54	$85.11	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $181.97 / $346.74	Professional	TC	$97.72	$181.97	$346.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,096.48	Professional		$302.00	$302.00	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $257.04	Professional	26	$81.28	$81.28	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $234.42	Professional	TC	$223.87	$223.87	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $660.69	Professional		$204.17	$363.08	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $91.20 / $190.55	Professional	26	$77.62	$91.20	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $275.42 / $512.86	Professional	TC	$123.03	$275.42	$512.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $660.69	Professional		$208.93	$208.93	$660.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $257.04	Professional	26	$64.57	$64.57	$257.04
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	TC	$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $524.81	Professional		$162.18	$338.84	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $204.17	Professional	26	$63.10	$83.18	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $199.53 / $323.59	Professional	TC	$100.00	$199.53	$323.59