Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $231.03 / $293.30	Professional		$167.73	$231.03	$293.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $51.59 / $60.22	Professional	26	$44.14	$51.59	$60.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.06 / $184.55 / $233.08	Professional	TC	$117.06	$184.55	$233.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $340.53 / $340.53 / $340.53	Facility	26	$340.53	$340.53	$340.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $571.73 / $1,099.00	Professional		$187.91	$571.73	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.29 / $74.72 / $197.94	Professional	26	$65.29	$74.72	$197.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.62 / $122.62 / $122.62	Professional	TC	$122.62	$122.62	$122.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $352.46 / $571.73	Professional		$198.22	$352.46	$571.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $74.77 / $197.94	Professional	26	$65.06	$74.77	$197.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.27 / $180.04 / $484.36	Professional	TC	$128.27	$180.04	$484.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $352.46 / $571.73	Professional		$198.22	$352.46	$571.73
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $74.77 / $197.94	Professional	26	$65.06	$74.77	$197.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $128.27 / $180.04 / $304.89	Professional	TC	$128.27	$180.04	$304.89
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $312.25 / $608.17	Professional		$158.07	$312.25	$608.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $89.16 / $210.56	Professional	26	$51.25	$89.16	$210.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $204.15 / $397.62	Professional	TC	$106.82	$204.15	$397.62