Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $457.09	Professional		$213.80	$281.84	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $128.82	Professional	26	$57.54	$67.61	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $213.80 / $371.54	Professional	TC	$154.88	$213.80	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $870.96	Professional		$275.42	$275.42	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $912.01	Professional		$269.15	$537.03	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $89.13 / $186.21	Professional	26	$77.62	$89.13	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $446.68 / $812.83	Professional	TC	$190.55	$446.68	$812.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $870.96	Professional		$288.40	$288.40	$870.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $251.19	Professional	26	$63.10	$63.10	$251.19
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $724.44	Professional		$223.87	$457.09	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $204.17	Professional	26	$61.66	$83.18	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $323.59 / $602.56	Professional	TC	$165.96	$323.59	$602.56