Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $177.83	Facility		$112.20	$112.20	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $371.54	Professional		$100.00	$112.20	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $257.04 / $851.14	Professional	26	$44.67	$257.04	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $74.13 / $87.10	Professional	TC	$63.10	$74.13	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $173.78	Professional		$144.54	$144.54	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $194.98	Professional		$114.82	$147.91	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $66.07 / $173.78	Professional	26	$38.90	$66.07	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $97.72 / $112.20	Professional	TC	$75.86	$97.72	$112.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $173.78	Professional		$114.82	$120.23	$173.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $58.88	Professional	26	$38.90	$39.81	$58.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $79.43 / $112.20	Professional	TC	$75.86	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $354.81	Professional		$75.86	$128.82	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.65 / $123.03	Professional	26	$26.30	$43.65	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $234.42	Professional	TC	$50.12	$83.18	$234.42