Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $229.09	Professional		$97.72	$194.98	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $20.89 / $181.97	Professional	26	$19.05	$20.89	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $162.18 / $173.78	Professional	TC	$79.43	$162.18	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $281.84	Professional		$162.18	$239.88	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $35.48 / $83.18	Professional	26	$22.39	$35.48	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $169.82 / $251.19	Professional	TC	$125.89	$169.82	$251.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $281.84	Professional		$162.18	$199.53	$281.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $54.95	Professional	26	$22.39	$22.39	$54.95
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $177.83 / $251.19	Professional	TC	$104.71	$177.83	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $602.56	Professional		$109.65	$181.97	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.70 / $72.44	Professional	26	$15.49	$25.70	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $158.49 / $537.03	Professional	TC	$95.50	$158.49	$537.03