Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $489.78	Professional		$87.10	$165.96	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $51.29 / $117.49	Professional	26	$25.12	$51.29	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $363.08	Professional	TC	$61.66	$95.50	$363.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $162.18	Professional		$138.04	$162.18	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $52.48 / $52.48	Professional	26	$44.67	$52.48	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $114.82 / $114.82	Professional	TC	$97.72	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $446.68	Professional		$141.25	$186.21	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $47.86 / $138.04	Professional	26	$23.44	$47.86	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $107.15 / $295.12	Professional	TC	$100.00	$107.15	$295.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $446.68	Professional		$109.65	$112.20	$446.68
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $36.31 / $138.04	Professional	26	$33.11	$36.31	$138.04
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $75.86 / $91.20	Professional	TC	$75.86	$75.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $288.40	Professional		$112.20	$131.83	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $89.13	Professional	26	$34.67	$39.81	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $85.11 / $186.21	Professional	TC	$72.44	$85.11	$186.21