Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $186.21	Professional		$79.43	$112.20	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $104.71	Professional	26	$20.89	$28.18	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $91.20 / $151.36	Professional	TC	$57.54	$91.20	$151.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $562.34	Professional		$141.25	$141.25	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $117.49	Professional	26	$35.48	$35.48	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $107.15 / $134.90	Professional	TC	$107.15	$107.15	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $398.11	Professional		$123.03	$169.82	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $87.10	Professional	26	$34.67	$39.81	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $134.90 / $302.00	Professional	TC	$87.10	$134.90	$302.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $562.34	Professional		$104.71	$104.71	$562.34
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $117.49	Professional	26	$28.84	$28.84	$117.49
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	TC	$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $446.68	Professional		$125.89	$154.88	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $95.50	Professional	26	$28.84	$36.31	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $114.82 / $346.74	Professional	TC	$91.20	$114.82	$346.74