Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $225.39 / $238.19	Professional		$194.27	$225.39	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $58.13 / $68.27	Professional	26	$49.65	$58.13	$68.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.61 / $166.05 / $180.05	Professional	TC	$144.61	$166.05	$180.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.31 / $338.31 / $338.31	Facility	26	$338.31	$338.31	$338.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $183.06 / $527.87	Professional		$159.96	$183.06	$527.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.05 / $93.89 / $271.25	Professional	26	$82.05	$93.89	$271.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.91 / $77.91 / $89.16	Professional	TC	$77.91	$77.91	$89.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $310.42 / $527.87	Professional		$179.64	$310.42	$527.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.58 / $91.87 / $271.25	Professional	26	$73.58	$91.87	$271.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.03 / $114.10 / $334.95	Professional	TC	$86.03	$114.10	$334.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $310.42 / $527.87	Professional		$179.64	$310.42	$527.87
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $73.58 / $91.87 / $271.25	Professional	26	$73.58	$91.87	$271.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $86.03 / $114.10 / $283.02	Professional	TC	$86.03	$114.10	$283.02
United Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $273.33 / $616.63	Professional		$155.62	$273.33	$616.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $89.07 / $288.54	Professional	26	$68.23	$89.07	$288.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.45 / $140.15 / $540.29	Professional	TC	$71.45	$140.15	$540.29