Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $227.90 / $1,258.16	Professional		$98.95	$227.90	$1,258.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $65.56 / $173.42	Professional	26	$19.18	$65.56	$173.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.77 / $162.33 / $1,084.74	Professional	TC	$79.77	$162.33	$1,084.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $241.50 / $260.45	Professional		$161.94	$241.50	$260.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.35 / $71.69 / $82.24	Professional	26	$28.35	$71.69	$82.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.74 / $159.26 / $214.24	Professional	TC	$126.74	$159.26	$214.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.84 / $188.58 / $260.45	Professional		$160.84	$188.58	$260.45
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.68 / $35.20 / $82.24	Professional	26	$21.68	$35.20	$82.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $105.68 / $159.26 / $214.24	Professional	TC	$105.68	$159.26	$214.24
United Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $183.67 / $608.01	Professional		$110.20	$183.67	$608.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.53 / $25.89 / $73.25	Professional	26	$15.53	$25.89	$73.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.67 / $157.78 / $538.38	Professional	TC	$94.67	$157.78	$538.38