Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $137.44 / $422.00	Professional		$118.48	$137.44	$422.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $32.97 / $177.00	Professional	26	$24.86	$32.97	$177.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.77 / $100.99 / $189.78	Professional	TC	$66.77	$100.99	$189.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $206.80 / $206.80 / $206.80	Facility	26	$206.80	$206.80	$206.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $253.58 / $859.53	Professional		$191.98	$253.58	$859.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.33 / $52.25 / $134.78	Professional	26	$44.33	$52.25	$134.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.12 / $159.12 / $214.43	Professional	TC	$159.12	$159.12	$214.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $269.57 / $859.53	Professional		$133.83	$269.57	$859.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $46.82 / $134.78	Professional	26	$39.49	$46.82	$134.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.09 / $156.84 / $281.83	Professional	TC	$88.09	$156.84	$281.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $212.82 / $859.53	Professional		$133.83	$212.82	$859.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $46.82 / $134.78	Professional	26	$38.84	$46.82	$134.78
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $84.06 / $144.44 / $281.83	Professional	TC	$84.06	$144.44	$281.83
United Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $184.58 / $469.43	Professional		$140.01	$184.58	$469.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $45.81 / $73.61	Professional	26	$34.29	$45.81	$73.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.77 / $142.19 / $395.82	Professional	TC	$103.77	$142.19	$395.82