Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $199.53	Professional		$83.18	$131.83	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $107.15 / $165.96	Professional	TC	$67.61	$107.15	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $436.52	Professional		$147.91	$177.83	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $151.36 / $346.74	Professional	TC	$114.82	$151.36	$346.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $602.56	Professional		$114.82	$114.82	$602.56
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $489.78	Professional		$131.83	$165.96	$489.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $131.83 / $407.38	Professional	TC	$102.33	$131.83	$407.38