Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $660.69	Facility		$97.72	$109.65	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $125.89	Professional		$50.12	$63.10	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $57.54 / $363.08	Professional	26	$19.95	$57.54	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $57.54	Professional	TC	$28.84	$38.02	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $281.84	Professional		$97.72	$97.72	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $281.84	Professional		$64.57	$95.50	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $39.81 / $114.82	Professional	26	$26.30	$39.81	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $58.88	Professional	TC	$38.90	$52.48	$58.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $97.72	Professional		$63.10	$67.61	$97.72
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $26.92 / $38.90	Professional	26	$26.30	$26.92	$38.90
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $41.69 / $58.88	Professional	TC	$34.67	$41.69	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $100.00 / $199.53	Professional		$40.74	$100.00	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.84 / $89.13	Professional	26	$17.38	$28.84	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $120.23	Professional	TC	$23.99	$39.81	$120.23