Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $96.15 / $101.35	Professional		$82.81	$96.15	$101.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $26.17 / $27.33	Professional	26	$22.87	$26.17	$27.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $68.81 / $78.23	Professional	TC	$59.92	$68.81	$78.23
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 $139.53 / $164.48 / $542.97	Professional		$139.53	$164.48	$542.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $39.86 / $106.27	Professional	26	$33.83	$39.86	$106.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.28 / $111.28 / $131.16	Professional	TC	$111.28	$111.28	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $178.31 / $542.97	Professional		$121.50	$178.31	$542.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $36.85 / $106.27	Professional	26	$34.53	$36.85	$106.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.79 / $141.91 / $234.00	Professional	TC	$83.79	$141.91	$234.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $178.15 / $542.97	Professional		$113.54	$178.15	$542.97
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $36.85 / $106.27	Professional	26	$35.61	$36.85	$106.27
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $79.14 / $141.91 / $234.00	Professional	TC	$79.14	$141.91	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $169.61 / $577.58	Professional		$108.68	$169.61	$577.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $37.54 / $100.58	Professional	26	$27.09	$37.54	$100.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.92 / $125.98 / $464.54	Professional	TC	$73.92	$125.98	$464.54