Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $113.14 / $113.14	Professional		$97.57	$113.14	$113.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $27.54 / $28.23	Professional	26	$23.64	$27.54	$28.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $84.91 / $84.91	Professional	TC	$73.93	$84.91	$84.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $160.16 / $160.16 / $160.16	Facility	26	$160.16	$160.16	$160.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $181.37 / $562.98	Professional		$153.86	$181.37	$562.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $41.01 / $111.98	Professional	26	$34.79	$41.01	$111.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $112.20 / $132.27	Professional	TC	$112.20	$112.20	$132.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $189.43 / $562.98	Professional		$137.65	$189.43	$562.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $38.70 / $111.98	Professional	26	$35.00	$38.70	$111.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.82 / $116.57 / $211.30	Professional	TC	$99.82	$116.57	$211.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $159.91 / $562.98	Professional		$136.38	$159.91	$562.98
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $38.70 / $111.98	Professional	26	$36.10	$38.70	$111.98
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $99.82 / $109.76 / $211.30	Professional	TC	$99.82	$109.76	$211.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $171.57 / $598.86	Professional		$125.00	$171.57	$598.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $38.86 / $119.12	Professional	26	$27.46	$38.86	$119.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.19 / $121.99 / $355.46	Professional	TC	$94.19	$121.99	$355.46