Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.16 / $552.00	Professional		$100.00	$131.16	$552.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $37.54 / $138.00	Professional	26	$22.28	$37.54	$138.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $95.63 / $430.43	Professional	TC	$61.86	$95.63	$430.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $201.59 / $201.59 / $201.59	Facility	26	$201.59	$201.59	$201.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $162.86 / $451.55	Professional		$138.16	$162.86	$451.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $52.47 / $137.74	Professional	26	$44.51	$52.47	$137.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.61 / $115.05 / $115.05	Professional	TC	$97.61	$115.05	$115.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $164.91 / $451.55	Professional		$143.05	$164.91	$451.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $47.50 / $137.74	Professional	26	$40.46	$47.50	$137.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.76 / $106.46 / $226.20	Professional	TC	$101.76	$106.46	$226.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $152.97 / $451.55	Professional		$125.79	$152.97	$451.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $47.50 / $137.74	Professional	26	$38.65	$47.50	$137.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $77.69 / $105.89 / $171.56	Professional	TC	$77.69	$105.89	$171.56
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $133.91 / $246.61	Professional		$111.52	$133.91	$246.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $44.57 / $98.00	Professional	26	$34.97	$44.57	$98.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.66 / $93.25 / $171.38	Professional	TC	$76.66	$93.25	$171.38