Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $91.32 / $798.41	Professional		$57.75	$91.32	$798.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $30.92 / $226.66	Professional	26	$18.30	$30.92	$226.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $60.40 / $571.69	Professional	TC	$39.45	$60.40	$571.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $145.90 / $519.24	Professional		$123.78	$145.90	$519.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $110.77 / $519.24	Professional		$83.95	$110.77	$519.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $37.46 / $136.85	Professional	26	$28.71	$37.46	$136.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.24 / $73.31 / $122.15	Professional	TC	$55.24	$73.31	$122.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $110.77 / $180.81	Professional		$73.79	$110.77	$180.81
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.08 / $37.46 / $46.89	Professional	26	$25.08	$37.46	$46.89
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $73.31 / $122.15	Professional	TC	$48.72	$73.31	$122.15
United Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $116.99 / $368.22	Professional		$70.19	$116.99	$368.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $33.84 / $97.05	Professional	26	$20.30	$33.84	$97.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.89 / $83.15 / $271.17	Professional	TC	$49.89	$83.15	$271.17