Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.97 / $263.97 / $280.83	Professional		$263.97	$263.97	$280.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.92 / $51.08 / $51.08	Professional	26	$49.92	$51.08	$51.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.89 / $212.89 / $230.90	Professional	TC	$212.89	$212.89	$230.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $293.83 / $293.83 / $293.83	Facility	26	$293.83	$293.83	$293.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $329.99 / $905.64	Professional		$329.99	$329.99	$905.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $355.13 / $905.64	Professional		$301.87	$355.13	$905.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.41 / $65.92 / $190.75	Professional	26	$62.41	$65.92	$190.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.30 / $262.80 / $606.20	Professional	TC	$236.30	$262.80	$606.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $355.13 / $905.64	Professional		$301.87	$355.13	$905.64
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $62.41 / $65.92 / $190.75	Professional	26	$62.41	$65.92	$190.75
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $236.30 / $283.32 / $606.20	Professional	TC	$236.30	$283.32	$606.20
United Facility/Professional Professional Modifier Low / Median / High Price $223.19 / $378.85 / $619.21	Professional		$223.19	$378.85	$619.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $67.39 / $104.18	Professional	26	$49.08	$67.39	$104.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.58 / $292.12 / $390.43	Professional	TC	$193.58	$292.12	$390.43