Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $130.29 / $585.14	Professional		$67.04	$130.29	$585.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $44.28 / $164.00	Professional	26	$27.82	$44.28	$164.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.33 / $94.60 / $134.76	Professional	TC	$46.33	$94.60	$134.76
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $187.76 / $187.76 / $187.76	Facility	26	$187.76	$187.76	$187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $157.38 / $431.50	Professional		$133.50	$157.38	$431.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.21 / $48.58 / $127.71	Professional	26	$41.21	$48.58	$127.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.55 / $94.55 / $111.46	Professional	TC	$94.55	$94.55	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $163.35 / $431.50	Professional		$93.15	$163.35	$431.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $44.06 / $127.71	Professional	26	$37.52	$44.06	$127.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.11 / $101.97 / $209.97	Professional	TC	$50.11	$101.97	$209.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $145.60 / $431.50	Professional		$93.06	$145.60	$431.50
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $44.06 / $127.71	Professional	26	$35.78	$44.06	$127.71
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $49.09 / $101.52 / $166.70	Professional	TC	$49.09	$101.52	$166.70
United Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $128.26 / $235.66	Professional		$106.88	$128.26	$235.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $42.40 / $69.75	Professional	26	$32.47	$42.40	$69.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.84 / $89.75 / $165.91	Professional	TC	$67.84	$89.75	$165.91