Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $107.70 / $117.41	Professional		$91.24	$107.70	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.63 / $77.54 / $86.27	Professional	TC	$62.63	$77.54	$86.27
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $173.88 / $173.88 / $173.88	Facility	26	$173.88	$173.88	$173.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $140.38 / $382.89	Professional		$119.10	$140.38	$382.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $173.51 / $382.89	Professional		$125.52	$173.51	$382.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.16 / $114.77 / $229.67	Professional	TC	$83.16	$114.77	$229.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $168.22 / $382.89	Professional		$125.52	$168.22	$382.89
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $83.16 / $88.74 / $151.29	Professional	TC	$83.16	$88.74	$151.29
United Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $138.15 / $371.06	Professional		$109.18	$138.15	$371.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.23 / $102.51 / $282.11	Professional	TC	$69.23	$102.51	$282.11