Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $201.03 / $204.68	Professional		$124.00	$201.03	$204.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.03 / $60.65 / $70.20	Professional	26	$33.03	$60.65	$70.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.97 / $134.46 / $955.82	Professional	TC	$90.97	$134.46	$955.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $314.69 / $314.69 / $314.69	Facility	26	$314.69	$314.69	$314.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $230.37 / $767.35	Professional		$195.43	$230.37	$767.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $217.63 / $767.35	Professional		$89.55	$217.63	$767.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $71.05 / $178.39	Professional	26	$28.93	$71.05	$178.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.14 / $165.79 / $182.06	Professional	TC	$46.14	$165.79	$182.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $177.32 / $767.35	Professional		$74.59	$177.32	$767.35
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $60.18 / $178.39	Professional	26	$28.93	$60.18	$178.39
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $60.63 / $128.74 / $182.06	Professional	TC	$60.63	$128.74	$182.06
United Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $174.86 / $419.08	Professional		$110.80	$174.86	$419.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.48 / $57.68 / $126.51	Professional	26	$28.48	$57.68	$126.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.41 / $131.32 / $417.66	Professional	TC	$83.41	$131.32	$417.66