Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $127.07 / $160.66	Professional		$109.45	$127.07	$160.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $34.93 / $50.51	Professional	26	$29.91	$34.93	$50.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $91.34 / $110.16	Professional	TC	$79.54	$91.34	$110.16
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 $174.29 / $174.29 / $664.63	Professional		$174.29	$174.29	$664.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.19 / $55.19 / $206.53	Professional	26	$55.19	$55.19	$206.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.77 / $132.77 / $132.77	Professional	TC	$132.77	$132.77	$132.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $220.74 / $664.63	Professional		$197.37	$220.74	$664.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.32 / $60.41 / $206.53	Professional	26	$46.32	$60.41	$206.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.99 / $160.61 / $268.04	Professional	TC	$139.99	$160.61	$268.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $220.74 / $664.63	Professional		$180.74	$220.74	$664.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.32 / $54.85 / $206.53	Professional	26	$46.32	$54.85	$206.53
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $135.72 / $159.41 / $232.38	Professional	TC	$135.72	$159.41	$232.38
United Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $213.87 / $707.00	Professional		$148.80	$213.87	$707.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.02 / $67.45 / $196.54	Professional	26	$45.02	$67.45	$196.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.33 / $145.94 / $487.31	Professional	TC	$106.33	$145.94	$487.31