Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $145.55 / $147.29	Professional		$124.73	$145.55	$147.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $37.58 / $39.11	Professional	26	$32.71	$37.58	$39.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.01 / $106.43 / $109.71	Professional	TC	$92.01	$106.43	$109.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $167.11 / $547.33	Professional		$167.11	$167.11	$547.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.36 / $54.65 / $152.08	Professional	26	$46.36	$54.65	$152.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.75 / $120.75 / $142.33	Professional	TC	$120.75	$120.75	$142.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $190.03 / $547.33	Professional		$180.20	$190.03	$547.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $52.26 / $152.08	Professional	26	$48.81	$52.26	$152.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.80 / $138.90 / $253.52	Professional	TC	$130.80	$138.90	$253.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.61 / $190.03 / $547.33	Professional		$179.61	$190.03	$547.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $52.26 / $152.08	Professional	26	$48.81	$52.26	$152.08
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $130.80 / $137.74 / $224.27	Professional	TC	$130.80	$137.74	$224.27
United Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $209.32 / $522.29	Professional		$156.47	$209.32	$522.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $55.71 / $161.78	Professional	26	$42.53	$55.71	$161.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.95 / $143.85 / $377.32	Professional	TC	$113.95	$143.85	$377.32