Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $162.63 / $179.45	Professional		$98.98	$162.63	$179.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $18.38 / $18.76	Professional	26	$15.71	$18.38	$18.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.37 / $144.76 / $161.07	Professional	TC	$55.37	$144.76	$161.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $106.07 / $106.07 / $106.07	Facility	26	$106.07	$106.07	$106.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $125.95 / $410.47	Professional		$110.06	$125.95	$410.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.09 / $58.47 / $191.04	Professional	26	$51.09	$58.47	$191.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.98 / $58.98 / $67.50	Professional	TC	$58.98	$58.98	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $242.43 / $410.47	Professional		$119.41	$242.43	$410.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $43.74 / $191.04	Professional	26	$22.93	$43.74	$191.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.78 / $97.35 / $283.66	Professional	TC	$73.78	$97.35	$283.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $242.43 / $410.47	Professional		$119.41	$242.43	$410.47
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $28.71 / $191.04	Professional	26	$22.93	$28.71	$191.04
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $73.78 / $97.35 / $262.39	Professional	TC	$73.78	$97.35	$262.39
United Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $212.54 / $557.29	Professional		$120.68	$212.54	$557.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $62.45 / $203.22	Professional	26	$23.69	$62.45	$203.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.43 / $119.84 / $533.61	Professional	TC	$61.43	$119.84	$533.61