Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $210.66 / $216.84	Professional		$210.66	$210.66	$216.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.16 / $108.60 / $108.60	Professional	26	$106.16	$108.60	$108.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $102.06 / $110.68	Professional	TC	$102.06	$102.06	$110.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $614.21 / $614.21 / $614.21	Facility	26	$614.21	$614.21	$614.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $170.13 / $586.20	Professional		$170.13	$170.13	$586.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.56 / $133.56 / $448.88	Professional	26	$133.56	$133.56	$448.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.57 / $36.57 / $36.57	Professional	TC	$36.57	$36.57	$36.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $302.58 / $586.20	Professional		$186.29	$302.58	$586.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.11 / $146.31 / $448.88	Professional	26	$142.11	$146.31	$448.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $58.04 / $197.90	Professional	TC	$43.70	$58.04	$197.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $302.58 / $586.20	Professional		$186.29	$302.58	$586.20
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $142.11 / $146.31 / $448.88	Professional	26	$142.11	$146.31	$448.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $35.35 / $58.04 / $197.90	Professional	TC	$35.35	$58.04	$197.90
United Facility/Professional Professional Modifier Low / Median / High Price $174.70 / $248.95 / $623.57	Professional		$174.70	$248.95	$623.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.54 / $141.19 / $477.50	Professional	26	$104.54	$141.19	$477.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.51 / $144.41 / $462.01	Professional	TC	$33.51	$144.41	$462.01