Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $152.13 / $592.50	Professional		$98.84	$152.13	$592.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $37.70 / $186.00	Professional	26	$28.11	$37.70	$186.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $115.14 / $151.90	Professional	TC	$97.08	$115.14	$151.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $221.71 / $221.71 / $221.71	Facility	26	$221.71	$221.71	$221.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $196.17 / $633.88	Professional		$166.42	$196.17	$633.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.40 / $55.88 / $150.63	Professional	26	$47.40	$55.88	$150.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.28 / $126.28 / $148.85	Professional	TC	$126.28	$126.28	$148.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $218.15 / $633.88	Professional		$198.94	$218.15	$633.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.22 / $52.41 / $150.63	Professional	26	$44.22	$52.41	$150.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.61 / $162.76 / $345.40	Professional	TC	$142.61	$162.76	$345.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $217.72 / $633.88	Professional		$159.74	$217.72	$633.88
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $52.41 / $150.63	Professional	26	$42.53	$52.41	$150.63
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $119.55 / $161.77 / $268.52	Professional	TC	$119.55	$161.77	$268.52
United Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $187.34 / $346.19	Professional		$146.04	$187.34	$346.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.63 / $49.75 / $82.27	Professional	26	$38.63	$49.75	$82.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.31 / $126.49 / $263.92	Professional	TC	$109.31	$126.49	$263.92