Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $145.63 / $154.94	Professional		$136.02	$145.63	$154.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $47.85 / $52.19	Professional	26	$46.06	$47.85	$52.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.96 / $95.52 / $102.77	Professional	TC	$89.96	$95.52	$102.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $169.60 / $199.93	Professional		$169.60	$169.60	$199.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $505.77 / $505.77 / $505.77	Professional	TC	$505.77	$505.77	$505.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $187.13 / $505.77	Professional		$83.49	$187.13	$505.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.98 / $57.65 / $153.33	Professional	26	$41.98	$57.65	$153.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.51 / $86.52 / $173.75	Professional	TC	$41.51	$86.52	$173.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $187.13 / $505.77	Professional		$83.49	$187.13	$505.77
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $41.98 / $50.01 / $153.33	Professional	26	$41.98	$50.01	$153.33
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $41.51 / $86.52 / $138.57	Professional	TC	$41.51	$86.52	$138.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $175.28 / $318.72	Professional		$137.88	$175.28	$318.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.18 / $61.61 / $188.19	Professional	26	$47.18	$61.61	$188.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.67 / $109.03 / $222.10	Professional	TC	$80.67	$109.03	$222.10