Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $188.72 / $197.96	Professional		$188.72	$188.72	$197.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.07 / $61.62 / $61.62	Professional	26	$60.07	$61.62	$61.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.10 / $127.10 / $137.88	Professional	TC	$127.10	$127.10	$137.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $352.23 / $352.23 / $352.23	Facility	26	$352.23	$352.23	$352.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.97 / $235.97 / $738.54	Professional		$235.97	$235.97	$738.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $262.74 / $738.54	Professional		$248.43	$262.74	$738.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.61 / $80.84 / $233.73	Professional	26	$75.61	$80.84	$233.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.58 / $176.01 / $373.90	Professional	TC	$167.58	$176.01	$373.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $262.74 / $738.54	Professional		$248.43	$262.74	$738.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $75.61 / $80.84 / $233.73	Professional	26	$75.61	$80.84	$233.73
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $167.58 / $176.38 / $373.90	Professional	TC	$167.58	$176.38	$373.90
United Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $293.42 / $473.25	Professional		$173.48	$293.42	$473.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.01 / $81.70 / $127.65	Professional	26	$59.01	$81.70	$127.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.51 / $191.12 / $303.89	Professional	TC	$120.51	$191.12	$303.89