Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $136.87 / $545.00	Professional		$103.27	$136.87	$545.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $63.13 / $190.00	Professional	26	$42.60	$63.13	$190.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.83 / $83.81 / $120.84	Professional	TC	$59.83	$83.81	$120.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $286.48 / $286.48 / $286.48	Facility	26	$286.48	$286.48	$286.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $201.00 / $503.12	Professional		$170.51	$201.00	$503.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.79 / $76.37 / $197.94	Professional	26	$64.79	$76.37	$197.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.46 / $121.95 / $121.95	Professional	TC	$103.46	$121.95	$121.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $179.01 / $503.12	Professional		$163.93	$179.01	$503.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.62 / $69.28 / $197.94	Professional	26	$57.62	$69.28	$197.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.46 / $107.27 / $219.00	Professional	TC	$100.46	$107.27	$219.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $170.58 / $503.12	Professional		$142.41	$170.58	$503.12
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $56.01 / $69.28 / $197.94	Professional	26	$56.01	$69.28	$197.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $78.42 / $102.21 / $165.08	Professional	TC	$78.42	$102.21	$165.08
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $174.02 / $274.77	Professional		$124.51	$174.02	$274.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.80 / $64.65 / $108.11	Professional	26	$49.80	$64.65	$108.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $95.31 / $166.67	Professional	TC	$73.62	$95.31	$166.67