Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $186.21	Professional		$91.20	$125.89	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $89.13	Professional	26	$22.91	$30.20	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $97.72 / $151.36	Professional	TC	$67.61	$97.72	$151.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Professional		$138.04	$138.04	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $107.15	Professional	26	$33.88	$33.88	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $112.20 / $131.83	Professional	TC	$112.20	$112.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $380.19	Professional		$114.82	$177.83	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.02 / $79.43	Professional	26	$33.11	$38.02	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $141.25 / $309.03	Professional	TC	$79.43	$141.25	$309.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $537.03	Professional		$93.33	$93.33	$537.03
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $107.15	Professional	26	$26.92	$26.92	$107.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	TC	$67.61	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $426.58	Professional		$112.20	$144.54	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $85.11	Professional	26	$26.92	$34.67	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $114.82 / $346.74	Professional	TC	$74.13	$114.82	$346.74