Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $371.54	Professional		$97.72	$173.78	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $199.53	Professional	26	$52.48	$83.18	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $95.50 / $281.84	Professional	TC	$53.70	$95.50	$281.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $234.42	Professional		$199.53	$199.53	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $288.40	Professional	26	$83.18	$83.18	$288.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $141.25	Professional	TC	$123.03	$123.03	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $501.19	Professional		$104.71	$251.19	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $91.20 / $223.87	Professional	26	$50.12	$91.20	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $165.96 / $275.42	Professional	TC	$56.23	$165.96	$275.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $602.56	Professional		$128.82	$128.82	$602.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $288.40	Professional	26	$57.54	$57.54	$288.40
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	TC	$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $489.78	Professional		$147.91	$213.80	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $89.13 / $190.55	Professional	26	$72.44	$89.13	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $331.13	Professional	TC	$74.13	$109.65	$331.13