Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $152.27 / $193.81	Professional		$145.97	$152.27	$193.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $49.15 / $57.56	Professional	26	$42.14	$49.15	$57.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.28 / $107.90 / $136.25	Professional	TC	$96.28	$107.90	$136.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $285.39 / $285.39 / $285.39	Facility	26	$285.39	$285.39	$285.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $233.19 / $579.01	Professional		$197.83	$233.19	$579.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.37 / $61.37 / $189.48	Professional	26	$61.37	$61.37	$189.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.40 / $132.40 / $132.40	Professional	TC	$132.40	$132.40	$132.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $266.67 / $579.01	Professional		$192.20	$266.67	$579.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.38 / $67.81 / $189.48	Professional	26	$60.38	$67.81	$189.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.01 / $133.80 / $372.61	Professional	TC	$129.01	$133.80	$372.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $265.57 / $579.01	Professional		$192.20	$265.57	$579.01
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $67.81 / $189.48	Professional	26	$63.20	$67.81	$189.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $129.01 / $133.80 / $218.59	Professional	TC	$129.01	$133.80	$218.59
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $289.42 / $615.91	Professional		$146.88	$289.42	$615.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $68.31 / $201.56	Professional	26	$47.36	$68.31	$201.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.18 / $193.70 / $367.73	Professional	TC	$107.18	$193.70	$367.73