Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $426.58	Professional		$72.44	$162.18	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $123.03	Professional	26	$23.99	$43.65	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $107.15 / $169.82	Professional	TC	$48.98	$107.15	$169.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $52.48 / $120.23	Professional	26	$44.67	$52.48	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $213.80 / $213.80	Professional	TC	$158.49	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $660.69	Professional		$134.90	$269.15	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $46.77 / $134.90	Professional	26	$22.39	$46.77	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $158.49 / $478.63	Professional	TC	$87.10	$158.49	$478.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $851.14	Professional		$93.33	$162.18	$851.14
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $35.48 / $134.90	Professional	26	$33.11	$35.48	$134.90
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $125.89 / $204.17	Professional	TC	$58.88	$125.89	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $467.74	Professional		$138.04	$169.82	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.90 / $87.10	Professional	26	$33.88	$38.90	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $131.83 / $371.54	Professional	TC	$104.71	$131.83	$371.54