Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $223.87	Professional		$120.23	$154.88	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $54.95 / $125.89	Professional	26	$30.20	$54.95	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $104.71 / $154.88	Professional	TC	$89.13	$104.71	$154.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $660.69	Professional		$173.78	$173.78	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $204.17	Professional	26	$54.95	$54.95	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $154.88	Professional	TC	$131.83	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $512.86	Professional		$181.97	$223.87	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $138.04	Professional	26	$44.67	$56.23	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $165.96 / $407.38	Professional	TC	$134.90	$165.96	$407.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $660.69	Professional		$162.18	$162.18	$660.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $204.17	Professional	26	$34.67	$34.67	$204.17
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $524.81	Professional		$147.91	$186.21	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $165.96	Professional	26	$44.67	$58.88	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $125.89 / $363.08	Professional	TC	$104.71	$125.89	$363.08