Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $109.00 / $513.00	Professional		$90.69	$109.00	$513.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $43.75 / $210.00	Professional	26	$32.32	$43.75	$210.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $64.31 / $118.51	Professional	TC	$56.82	$64.31	$118.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $244.04 / $244.04 / $244.04	Facility	26	$244.04	$244.04	$244.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $154.79 / $468.64	Professional		$131.31	$154.79	$468.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.50 / $66.61 / $170.57	Professional	26	$56.50	$66.61	$170.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.14 / $84.14 / $99.18	Professional	TC	$84.14	$84.14	$99.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $159.66 / $468.64	Professional		$139.86	$159.66	$468.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $59.18 / $170.57	Professional	26	$50.09	$59.18	$170.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.76 / $100.25 / $215.91	Professional	TC	$86.76	$100.25	$215.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $159.61 / $468.64	Professional		$117.83	$159.61	$468.64
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $58.74 / $170.57	Professional	26	$48.65	$58.74	$170.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $71.68 / $99.32 / $161.02	Professional	TC	$71.68	$99.32	$161.02
United Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $132.66 / $255.95	Professional		$109.73	$132.66	$255.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.12 / $55.27 / $93.16	Professional	26	$42.12	$55.27	$93.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $83.08 / $162.79	Professional	TC	$67.61	$83.08	$162.79