Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $416.87	Professional		$70.79	$112.20	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $54.95 / $169.82	Professional	26	$34.67	$54.95	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $46.77 / $70.79	Professional	TC	$34.67	$46.77	$70.79
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $398.11	Professional		$131.83	$131.83	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $398.11	Professional		$125.89	$162.18	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $67.61 / $208.93	Professional	26	$58.88	$67.61	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $63.10 / $141.25	Professional	TC	$60.26	$63.10	$141.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	26	$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $426.58	Professional		$114.82	$204.17	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $120.23	Professional	26	$47.86	$66.07	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $199.53	Professional	TC	$53.70	$97.72	$199.53