Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $103.84 / $113.31	Professional		$92.43	$103.84	$113.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $27.03 / $27.69	Professional	26	$23.17	$27.03	$27.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.26 / $77.54 / $86.27	Professional	TC	$69.26	$77.54	$86.27
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $157.00 / $157.00 / $157.00	Facility	26	$157.00	$157.00	$157.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $143.33 / $425.11	Professional		$121.59	$143.33	$425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $144.59 / $425.11	Professional		$120.08	$144.59	$425.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $37.72 / $110.54	Professional	26	$35.00	$37.72	$110.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.65 / $106.87 / $174.59	Professional	TC	$83.65	$106.87	$174.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $144.59 / $425.11	Professional		$120.08	$144.59	$425.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $37.72 / $110.54	Professional	26	$36.10	$37.72	$110.54
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $83.07 / $98.14 / $152.91	Professional	TC	$83.07	$98.14	$152.91
United Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $135.41 / $362.70	Professional		$97.97	$135.41	$362.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $39.36 / $117.59	Professional	26	$27.46	$39.36	$117.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.97 / $98.16 / $334.62	Professional	TC	$69.97	$98.16	$334.62