Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $347.76 / $1,625.25	Professional		$156.59	$347.76	$1,625.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.18 / $159.87 / $893.06	Professional	26	$89.18	$159.87	$893.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.41 / $187.89 / $732.18	Professional	TC	$67.41	$187.89	$732.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.12 / $352.12 / $415.06	Professional		$352.12	$352.12	$415.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $351.58 / $417.66	Professional		$283.00	$351.58	$417.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.02 / $170.17 / $513.02	Professional	26	$148.02	$170.17	$513.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.27 / $181.42 / $219.18	Professional	TC	$114.27	$181.42	$219.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $283.00 / $417.66	Professional		$221.53	$283.00	$417.66
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $114.18 / $168.24 / $198.49	Professional	26	$114.18	$168.24	$198.49
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $108.62 / $145.80 / $219.18	Professional	TC	$108.62	$145.80	$219.18
United Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $240.63 / $701.49	Professional		$143.96	$240.63	$701.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.04 / $133.38 / $363.81	Professional	26	$80.04	$133.38	$363.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.92 / $106.54 / $154.47	Professional	TC	$63.92	$106.54	$154.47