Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $152.80 / $485.00	Professional		$88.95	$152.80	$485.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $47.63 / $154.00	Professional	26	$30.62	$47.63	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $64.31 / $285.00	Professional	TC	$48.18	$64.31	$285.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $216.45 / $216.45 / $216.45	Facility	26	$216.45	$216.45	$216.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.15 / $143.99 / $395.84	Professional		$122.15	$143.99	$395.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $57.91 / $150.63	Professional	26	$49.13	$57.91	$150.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $89.84 / $89.84	Professional	TC	$76.20	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $138.79 / $395.84	Professional		$126.48	$138.79	$395.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.22 / $51.76 / $150.63	Professional	26	$44.22	$51.76	$150.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.31 / $83.16 / $176.82	Professional	TC	$79.31	$83.16	$176.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $134.83 / $395.84	Professional		$112.46	$134.83	$395.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $42.73 / $51.74 / $150.63	Professional	26	$42.73	$51.74	$150.63
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $64.73 / $82.60 / $132.63	Professional	TC	$64.73	$82.60	$132.63
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $131.63 / $216.18	Professional		$97.44	$131.63	$216.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $49.23 / $142.05	Professional	26	$37.17	$49.23	$142.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.51 / $80.43 / $133.91	Professional	TC	$59.51	$80.43	$133.91