Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $234.42	Professional		$109.65	$169.82	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $57.54 / $85.11	Professional	TC	$38.90	$57.54	$85.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	26	$602.56	$602.56	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $616.60	Professional		$208.93	$208.93	$616.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	TC	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $616.60	Professional		$199.53	$229.09	$616.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $77.62 / $162.18	Professional	TC	$66.07	$77.62	$162.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $660.69	Professional		$162.18	$251.19	$660.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $114.82 / $177.83	Professional	TC	$63.10	$114.82	$177.83