Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $198.02 / $210.82	Professional		$198.02	$198.02	$210.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $36.26 / $36.26	Professional	26	$35.42	$36.26	$36.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.76 / $161.76 / $175.40	Professional	TC	$161.76	$161.76	$175.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $205.79 / $205.79 / $205.79	Facility	26	$205.79	$205.79	$205.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $289.12 / $1,150.45	Professional		$289.12	$289.12	$1,150.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $385.83 / $1,150.45	Professional		$248.35	$385.83	$1,150.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.17 / $49.67 / $159.19	Professional	26	$48.17	$49.67	$159.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.21 / $329.31 / $549.42	Professional	TC	$201.21	$329.31	$549.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $385.83 / $1,150.45	Professional		$248.35	$385.83	$1,150.45
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $48.17 / $49.67 / $159.19	Professional	26	$48.17	$49.67	$159.19
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $200.19 / $329.31 / $549.42	Professional	TC	$200.19	$329.31	$549.42
United Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $366.44 / $628.30	Professional		$181.23	$366.44	$628.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $53.56 / $169.34	Professional	26	$35.15	$53.56	$169.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.08 / $317.20 / $1,054.44	Professional	TC	$146.08	$317.20	$1,054.44