Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $99.06 / $110.78	Professional		$78.11	$99.06	$110.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $14.49 / $14.50	Professional	26	$11.17	$14.49	$14.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.95 / $84.57 / $96.28	Professional	TC	$66.95	$84.57	$96.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $73.19 / $73.19 / $73.19	Facility	26	$73.19	$73.19	$73.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $220.53 / $449.01	Professional		$150.80	$220.53	$449.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.21 / $17.48 / $49.50	Professional	26	$15.21	$17.48	$49.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.31 / $142.51 / $344.67	Professional	TC	$133.31	$142.51	$344.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $213.71 / $449.01	Professional		$150.80	$213.71	$449.01
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.01 / $17.48 / $49.50	Professional	26	$16.01	$17.48	$49.50
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $133.31 / $142.51 / $232.38	Professional	TC	$133.31	$142.51	$232.38
United Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $223.07 / $477.63	Professional		$116.21	$223.07	$477.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $17.51 / $52.65	Professional	26	$12.01	$17.51	$52.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $206.87 / $424.98	Professional	TC	$103.58	$206.87	$424.98