Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $126.71 / $146.02	Professional		$109.14	$126.71	$146.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $34.93 / $43.62	Professional	26	$29.91	$34.93	$43.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $90.98 / $102.41	Professional	TC	$79.23	$90.98	$102.41
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 $153.41 / $180.84 / $603.12	Professional		$153.41	$180.84	$603.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.48 / $60.68 / $177.89	Professional	26	$51.48	$60.68	$177.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.98 / $106.98 / $126.37	Professional	TC	$106.98	$106.98	$126.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $199.61 / $603.12	Professional		$167.43	$199.61	$603.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.32 / $55.95 / $177.89	Professional	26	$46.32	$55.95	$177.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.26 / $138.47 / $212.11	Professional	TC	$118.26	$138.47	$212.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $188.10 / $603.12	Professional		$158.15	$188.10	$603.12
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.32 / $54.85 / $177.89	Professional	26	$46.32	$54.85	$177.89
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $110.09 / $127.56 / $212.11	Professional	TC	$110.09	$127.56	$212.11
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $196.97 / $641.57	Professional		$142.38	$196.97	$641.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $58.61 / $189.23	Professional	26	$43.88	$58.61	$189.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.83 / $122.44 / $356.81	Professional	TC	$89.83	$122.44	$356.81