Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $117.42 / $123.53	Professional		$101.04	$117.42	$123.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $34.93 / $35.72	Professional	26	$29.91	$34.93	$35.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $81.69 / $88.59	Professional	TC	$71.14	$81.69	$88.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $202.60 / $202.60 / $202.60	Facility	26	$202.60	$202.60	$202.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $160.62 / $531.63	Professional		$136.25	$160.62	$531.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.55 / $57.23 / $160.66	Professional	26	$48.55	$57.23	$160.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.88 / $90.88 / $109.71	Professional	TC	$90.88	$90.88	$109.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $176.54 / $531.63	Professional		$146.30	$176.54	$531.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.44 / $55.22 / $160.66	Professional	26	$46.44	$55.22	$160.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.12 / $121.28 / $181.29	Professional	TC	$97.12	$121.28	$181.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $168.84 / $531.63	Professional		$135.32	$168.84	$531.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.44 / $54.85 / $160.66	Professional	26	$46.44	$54.85	$160.66
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $91.74 / $108.32 / $181.29	Professional	TC	$91.74	$108.32	$181.29
United Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $158.52 / $458.14	Professional		$122.34	$158.52	$458.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $52.56 / $153.15	Professional	26	$35.32	$52.56	$153.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.79 / $105.25 / $394.61	Professional	TC	$76.79	$105.25	$394.61