Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $272.00 / $915.44	Professional		$85.00	$272.00	$915.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.12 / $76.33 / $289.86	Professional	26	$30.12	$76.33	$289.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $195.68 / $625.58	Professional	TC	$54.88	$195.68	$625.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $233.79	Professional		$198.33	$198.33	$233.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $256.18 / $349.33	Professional		$157.11	$256.18	$349.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.42 / $79.88 / $172.68	Professional	26	$51.42	$79.88	$172.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.80 / $176.30 / $252.78	Professional	TC	$100.80	$176.30	$252.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $206.31 / $349.33	Professional		$138.46	$206.31	$349.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $64.84 / $96.56	Professional	26	$39.79	$64.84	$96.56
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $99.32 / $147.99 / $252.78	Professional	TC	$99.32	$147.99	$252.78
United Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $194.17 / $428.64	Professional		$80.55	$194.17	$428.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $43.25 / $106.74	Professional	26	$26.99	$43.25	$106.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.78 / $91.00 / $131.94	Professional	TC	$56.78	$91.00	$131.94