Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $707.95	Professional		$134.90	$186.21	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $54.95 / $141.25	Professional	26	$42.66	$54.95	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $134.90 / $512.86	Professional	TC	$100.00	$134.90	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $676.08	Professional		$208.93	$245.47	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $70.79 / $199.53	Professional	26	$60.26	$70.79	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $173.78	Professional	TC	$144.54	$144.54	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $512.86	Professional		$223.87	$239.88	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $69.18 / $144.54	Professional	26	$63.10	$69.18	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $173.78 / $363.08	Professional	TC	$158.49	$173.78	$363.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $676.08	Professional		$169.82	$169.82	$676.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $199.53	Professional	26	$48.98	$48.98	$199.53
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $549.54	Professional		$190.55	$245.47	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $158.49	Professional	26	$51.29	$70.79	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $169.82 / $389.05	Professional	TC	$120.23	$169.82	$389.05