Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $245.47	Professional		$107.15	$154.88	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $67.61 / $154.88	Professional	26	$42.66	$67.61	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $81.28 / $165.96	Professional	TC	$60.26	$81.28	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $524.81	Professional		$158.49	$158.49	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $269.15	Professional	26	$81.28	$81.28	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $77.62 / $89.13	Professional	TC	$77.62	$77.62	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $549.54	Professional		$177.83	$346.74	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $194.98	Professional	26	$74.13	$87.10	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $169.82 / $416.87	Professional	TC	$75.86	$169.82	$416.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $524.81	Professional		$151.36	$151.36	$524.81
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $269.15	Professional	26	$54.95	$54.95	$269.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $794.33	Professional		$141.25	$275.42	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $83.18 / $218.78	Professional	26	$67.61	$83.18	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $131.83 / $537.03	Professional	TC	$69.18	$131.83	$537.03