Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $366.92 / $721.25	Professional		$300.18	$366.92	$721.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $149.60 / $295.60	Professional	26	$112.50	$149.60	$295.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $252.68 / $500.72	Professional	TC	$181.94	$252.68	$500.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.69 / $465.69 / $548.94	Professional		$465.69	$465.69	$548.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.59 / $649.91 / $659.00	Professional		$384.59	$649.91	$659.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.21 / $211.10 / $598.89	Professional	26	$168.21	$211.10	$598.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.37 / $436.69 / $438.82	Professional	TC	$216.37	$436.69	$438.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $384.59 / $438.83 / $659.00	Professional		$384.59	$438.83	$659.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $135.21 / $174.57 / $222.30	Professional	26	$135.21	$174.57	$222.30
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $216.37 / $289.81 / $436.69	Professional	TC	$216.37	$289.81	$436.69
United Facility/Professional Professional Modifier Low / Median / High Price $257.42 / $429.04 / $630.02	Professional		$257.42	$429.04	$630.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.38 / $172.34 / $424.71	Professional	26	$91.38	$172.34	$424.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.04 / $276.74 / $893.13	Professional	TC	$166.04	$276.74	$893.13