Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.75 / $272.73 / $321.52	Professional		$221.75	$272.73	$321.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $58.32 / $64.00	Professional	26	$44.14	$58.32	$64.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $257.52	Professional	TC	$177.61	$221.14	$257.52
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 $187.45 / $187.45 / $1,099.00	Professional		$187.45	$187.45	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.29 / $65.29 / $197.94	Professional	26	$65.29	$65.29	$197.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.16 / $122.16 / $139.81	Professional	TC	$122.16	$122.16	$139.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $350.84 / $568.86	Professional		$197.71	$350.84	$568.86
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 $127.77 / $179.05 / $483.46	Professional	TC	$127.77	$179.05	$483.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $350.84 / $568.86	Professional		$197.71	$350.84	$568.86
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 $127.77 / $179.05 / $304.36	Professional	TC	$127.77	$179.05	$304.36
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $310.68 / $605.12	Professional		$157.35	$310.68	$605.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $77.47 / $210.56	Professional	26	$51.25	$77.47	$210.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $202.58 / $394.56	Professional	TC	$106.10	$202.58	$394.56