Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $512.86	Professional		$190.55	$245.47	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $204.17	Professional	26	$41.69	$56.23	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $181.97 / $251.19	Professional	TC	$144.54	$181.97	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $891.25	Professional		$288.40	$288.40	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $707.95	Professional		$275.42	$323.59	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $77.62 / $165.96	Professional	26	$67.61	$77.62	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $251.19 / $549.54	Professional	TC	$208.93	$251.19	$549.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $891.25	Professional		$239.88	$239.88	$891.25
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $218.78	Professional	26	$56.23	$56.23	$218.78
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $707.95	Professional		$229.09	$346.74	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $79.43 / $177.83	Professional	26	$53.70	$79.43	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $537.03	Professional	TC	$173.78	$251.19	$537.03