Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $112.20	Professional		$79.43	$95.50	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $257.04 / $1,000.00	Professional	26	$64.57	$257.04	$1,000.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $38.90	Professional	TC	$28.84	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $436.52	Professional		$112.20	$112.20	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $436.52	Professional		$97.72	$131.83	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $257.04	Professional	26	$58.88	$87.10	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $51.29 / $58.88	Professional	TC	$35.48	$51.29	$58.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $144.54	Professional		$97.72	$100.00	$144.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $60.26 / $87.10	Professional	26	$58.88	$60.26	$87.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $41.69 / $58.88	Professional	TC	$36.31	$41.69	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $309.03	Professional		$60.26	$123.03	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $181.97	Professional	26	$38.90	$64.57	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $35.48 / $123.03	Professional	TC	$20.89	$35.48	$123.03