Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $154.88	Professional		$70.79	$114.82	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $74.13 / $114.82	Professional	TC	$39.81	$74.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $371.54	Professional		$125.89	$199.53	$371.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $131.83 / $234.42	Professional	TC	$69.18	$131.83	$234.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $467.74	Professional		$128.82	$128.82	$467.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	TC	$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $380.19	Professional		$107.15	$213.80	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $102.33 / $275.42	Professional	TC	$63.10	$102.33	$275.42