Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $562.34	Professional		$173.78	$275.42	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $72.44 / $213.80	Professional	26	$44.67	$72.44	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $199.53 / $501.19	Professional	TC	$128.82	$199.53	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $954.99	Professional		$489.78	$489.78	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $954.99	Professional		$309.03	$524.81	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $257.04	Professional	26	$74.13	$87.10	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $229.09 / $851.14	Professional	TC	$223.87	$229.09	$851.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	26	$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $1,000.00	Professional		$281.84	$588.84	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $151.36	Professional	26	$61.66	$89.13	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $436.52 / $776.25	Professional	TC	$208.93	$436.52	$776.25