Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $141.96 / $143.44	Professional		$121.54	$141.96	$143.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $39.61 / $41.24	Professional	26	$34.46	$39.61	$41.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.07 / $100.72 / $103.82	Professional	TC	$87.07	$100.72	$103.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $192.36 / $534.51	Professional		$163.19	$192.36	$534.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.70 / $57.41 / $160.66	Professional	26	$48.70	$57.41	$160.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.20 / $114.20 / $134.62	Professional	TC	$114.20	$114.20	$134.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $186.29 / $534.51	Professional		$175.76	$186.29	$534.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $55.22 / $160.66	Professional	26	$51.43	$55.22	$160.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.78 / $131.50 / $239.91	Professional	TC	$123.78	$131.50	$239.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $186.29 / $534.51	Professional		$175.21	$186.29	$534.51
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $55.22 / $160.66	Professional	26	$51.43	$55.22	$160.66
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $123.78 / $130.35 / $212.11	Professional	TC	$123.78	$130.35	$212.11
United Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $193.31 / $511.31	Professional		$152.63	$193.31	$511.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.80 / $58.90 / $170.91	Professional	26	$44.80	$58.90	$170.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.01 / $136.13 / $356.81	Professional	TC	$104.01	$136.13	$356.81