Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $103.56 / $388.35	Professional		$92.10	$103.56	$388.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $41.51 / $132.62	Professional	26	$29.65	$41.51	$132.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $68.95 / $95.56	Professional	TC	$62.45	$68.95	$95.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $219.94 / $715.10	Professional		$186.58	$219.94	$715.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $176.10 / $715.10	Professional		$133.46	$176.10	$715.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.00 / $55.68 / $158.34	Professional	26	$46.00	$55.68	$158.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.45 / $116.01 / $183.04	Professional	TC	$87.45	$116.01	$183.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $167.23 / $238.72	Professional		$117.14	$167.23	$238.72
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $46.79 / $60.09	Professional	26	$36.22	$46.79	$60.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $77.02 / $116.01 / $183.04	Professional	TC	$77.02	$116.01	$183.04
United Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $176.27 / $507.12	Professional		$105.76	$176.27	$507.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.00 / $40.00 / $112.29	Professional	26	$24.00	$40.00	$112.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.76 / $136.27 / $394.83	Professional	TC	$81.76	$136.27	$394.83