Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $179.34 / $727.00	Professional		$147.21	$179.34	$727.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $67.76 / $307.00	Professional	26	$49.60	$67.76	$307.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.59 / $121.53 / $141.51	Professional	TC	$97.59	$121.53	$141.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.43 / $338.43 / $338.43	Facility	26	$338.43	$338.43	$338.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.63 / $234.14 / $599.49	Professional		$198.63	$234.14	$599.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.08 / $99.11 / $291.43	Professional	26	$84.08	$99.11	$291.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.39 / $124.39 / $140.31	Professional	TC	$124.39	$124.39	$140.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.47 / $207.73 / $599.49	Professional		$170.47	$207.73	$599.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.81 / $99.61 / $291.43	Professional	26	$75.81	$99.61	$291.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.03 / $93.52 / $217.97	Professional	TC	$79.03	$93.52	$217.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $170.47 / $246.30 / $599.49	Professional		$170.47	$246.30	$599.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $76.95 / $99.61 / $291.43	Professional	26	$76.95	$99.61	$291.43
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $84.07 / $93.52 / $186.16	Professional	TC	$84.07	$93.52	$186.16
United Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $310.42 / $637.70	Professional		$148.41	$310.42	$637.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.34 / $95.98 / $310.01	Professional	26	$72.34	$95.98	$310.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $159.51 / $327.69	Professional	TC	$77.95	$159.51	$327.69