Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $1,000.00	Professional		$138.04	$245.47	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $169.82	Professional	26	$43.65	$56.23	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $302.00	Professional	TC	$91.20	$169.82	$302.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $1,096.48	Professional		$199.53	$199.53	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $199.53	Professional	26	$69.18	$69.18	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $151.36	Professional	TC	$131.83	$131.83	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $630.96	Professional		$173.78	$371.54	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $158.49	Professional	26	$60.26	$77.62	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $281.84 / $524.81	Professional	TC	$114.82	$281.84	$524.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $575.44	Professional		$199.53	$199.53	$575.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $199.53	Professional	26	$53.70	$53.70	$199.53
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	TC	$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $512.86	Professional		$154.88	$295.12	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $158.49	Professional	26	$48.98	$70.79	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $194.98 / $398.11	Professional	TC	$104.71	$194.98	$398.11