Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $398.11	Professional		$134.90	$245.47	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $100.00 / $177.83	Professional	26	$45.71	$100.00	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $281.84	Professional	TC	$91.20	$169.82	$281.84
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 $186.21 / $213.80 / $1,096.48	Professional		$186.21	$213.80	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $199.53	Professional	26	$64.57	$74.13	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $141.25	Professional	TC	$123.03	$123.03	$141.25
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 / $147.91	Professional	26	$60.26	$77.62	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $275.42 / $524.81	Professional	TC	$114.82	$275.42	$524.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $575.44	Professional		$194.98	$194.98	$575.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $199.53	Professional	26	$50.12	$50.12	$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