Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $189.62 / $265.64	Professional		$168.68	$189.62	$265.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $56.35 / $81.06	Professional	26	$48.02	$56.35	$81.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.66 / $133.25 / $184.59	Professional	TC	$120.66	$133.25	$184.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.42 / $516.79 / $1,686.61	Professional		$438.42	$516.79	$1,686.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $322.39 / $1,686.61	Professional		$244.39	$322.39	$1,686.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.39 / $91.01 / $264.36	Professional	26	$75.39	$91.01	$264.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.00 / $224.13 / $474.93	Professional	TC	$169.00	$224.13	$474.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $322.39 / $565.94	Professional		$214.22	$322.39	$565.94
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $78.30 / $98.26	Professional	26	$60.49	$78.30	$98.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $148.66 / $224.13 / $446.09	Professional	TC	$148.66	$224.13	$446.09
United Facility/Professional Professional Modifier Low / Median / High Price $248.44 / $414.06 / $1,196.07	Professional		$248.44	$414.06	$1,196.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.40 / $67.31 / $187.47	Professional	26	$40.40	$67.31	$187.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.04 / $346.74 / $1,008.60	Professional	TC	$208.04	$346.74	$1,008.60