Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $812.83	Professional		$117.49	$169.82	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $134.90 / $380.19	Professional	26	$79.43	$134.90	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $114.82	Professional	TC	$25.70	$33.88	$114.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	26	$616.60	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $588.84	Professional		$169.82	$169.82	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $446.68	Professional	26	$134.90	$134.90	$446.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $588.84	Professional		$181.97	$302.00	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $147.91 / $446.68	Professional	26	$128.82	$147.91	$446.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $57.54 / $338.84	Professional	TC	$35.48	$57.54	$338.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	26	$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $954.99	Professional		$162.18	$302.00	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $257.04	Professional	26	$104.71	$141.25	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $74.13 / $457.09	Professional	TC	$30.90	$74.13	$457.09