Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $169.84 / $449.78	Professional		$117.93	$169.84	$449.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.58 / $83.93 / $367.02	Professional	26	$53.58	$83.93	$367.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $71.73 / $179.77	Professional	TC	$61.86	$71.73	$179.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $198.54 / $684.18	Professional		$168.43	$198.54	$684.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $213.84 / $684.18	Professional		$162.01	$213.84	$684.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.09 / $101.20 / $289.44	Professional	26	$84.09	$101.20	$289.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.91 / $112.77 / $129.47	Professional	TC	$77.91	$112.77	$129.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $166.26 / $237.88	Professional		$146.87	$166.26	$237.88
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $84.36 / $107.37	Professional	26	$65.34	$84.36	$107.37
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $74.87 / $100.92 / $129.47	Professional	TC	$74.87	$100.92	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $185.57 / $485.19	Professional		$94.46	$185.57	$485.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.23 / $73.70 / $205.26	Professional	26	$44.23	$73.70	$205.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.23 / $83.73 / $279.93	Professional	TC	$50.23	$83.73	$279.93