Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $160.46 / $167.10	Professional		$160.46	$160.46	$167.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.61 / $64.12 / $64.12	Professional	26	$62.61	$64.12	$64.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.34 / $96.34 / $104.48	Professional	TC	$96.34	$96.34	$104.48
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $362.78 / $362.78 / $362.78	Facility	26	$362.78	$362.78	$362.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.25 / $200.25 / $530.36	Professional		$200.25	$200.25	$530.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.56 / $79.56 / $253.74	Professional	26	$79.56	$79.56	$253.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.30 / $119.30 / $119.30	Professional	TC	$119.30	$119.30	$119.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $213.38 / $530.36	Professional		$167.74	$213.38	$530.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.18 / $84.80 / $253.74	Professional	26	$80.18	$84.80	$253.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $122.96 / $151.29	Professional	TC	$87.55	$122.96	$151.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $213.38 / $530.36	Professional		$167.74	$213.38	$530.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $80.18 / $84.80 / $253.74	Professional	26	$80.18	$84.80	$253.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $87.55 / $122.96 / $151.29	Professional	TC	$87.55	$122.96	$151.29
United Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $182.10 / $334.33	Professional		$129.53	$182.10	$334.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.88 / $82.24 / $269.91	Professional	26	$61.88	$82.24	$269.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.34 / $143.22 / $294.26	Professional	TC	$87.34	$143.22	$294.26