Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $168.29 / $168.29	Professional		$168.29	$168.29	$168.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.39 / $62.39 / $62.39	Professional	TC	$62.39	$62.39	$62.39
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $599.26 / $599.26 / $599.26	Facility	26	$599.26	$599.26	$599.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.82 / $208.82 / $621.02	Professional		$208.82	$208.82	$621.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.29 / $75.29 / $75.29	Professional	TC	$75.29	$75.29	$75.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $231.18 / $621.02	Professional		$198.14	$231.18	$621.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.87 / $78.45 / $116.08	Professional	TC	$67.87	$78.45	$116.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $231.18 / $621.02	Professional		$198.14	$231.18	$621.02
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $66.33 / $78.45 / $116.08	Professional	TC	$66.33	$78.45	$116.08
United Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $252.64 / $660.60	Professional		$162.09	$252.64	$660.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.57 / $99.23 / $241.87	Professional	TC	$62.57	$99.23	$241.87