Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $676.08	Professional		$186.21	$234.42	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.00 / $245.47	Professional	26	$77.62	$100.00	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $134.90 / $288.40	Professional	TC	$91.20	$134.90	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,584.89	Professional		$239.88	$239.88	$1,584.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $346.74	Professional	26	$87.10	$87.10	$346.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $169.82	Professional	TC	$144.54	$144.54	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $724.44	Professional		$245.47	$302.00	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $123.03 / $257.04	Professional	26	$104.71	$123.03	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $186.21 / $467.74	Professional	TC	$141.25	$186.21	$467.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $812.83	Professional		$218.78	$218.78	$812.83
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $346.74	Professional	26	$87.10	$87.10	$346.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	TC	$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $645.65	Professional		$194.98	$331.13	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $281.84	Professional	26	$85.11	$123.03	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $162.18 / $371.54	Professional	TC	$112.20	$162.18	$371.54