Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $117.49	Professional		$57.54	$91.20	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.20 / $30.20	Professional	26	$18.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $60.26 / $85.11	Professional	TC	$38.90	$60.26	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $524.81	Professional		$123.03	$123.03	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $524.81	Professional		$83.18	$123.03	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $37.15 / $138.04	Professional	26	$28.84	$37.15	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $91.20 / $134.90	Professional	TC	$54.95	$91.20	$134.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $181.97	Professional		$74.13	$128.82	$181.97
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $32.36 / $47.86	Professional	26	$25.12	$32.36	$47.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $95.50 / $134.90	Professional	TC	$48.98	$95.50	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $371.54	Professional		$70.79	$117.49	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $33.88 / $97.72	Professional	26	$20.42	$33.88	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $269.15	Professional	TC	$50.12	$83.18	$269.15