Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $99.63 / $130.97	Professional		$87.45	$99.63	$130.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $74.69 / $100.95	Professional	26	$67.59	$74.69	$100.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $20.79 / $32.83	Professional	TC	$19.69	$20.79	$32.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $135.88 / $399.08	Professional		$115.28	$135.88	$399.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $115.24 / $243.48	Professional		$86.07	$115.24	$243.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $83.45 / $180.58	Professional	26	$68.81	$83.45	$180.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $28.00 / $31.79	Professional	TC	$17.25	$28.00	$31.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $115.24 / $200.69	Professional		$91.27	$115.24	$200.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.80 / $83.45 / $148.84	Professional	26	$69.80	$83.45	$148.84
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $28.14 / $38.94	Professional	TC	$19.37	$28.14	$38.94
United Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $130.83 / $444.56	Professional		$82.99	$130.83	$444.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $108.25 / $329.71	Professional	26	$71.77	$108.25	$329.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.58 / $28.15 / $114.85	Professional	TC	$22.58	$28.15	$114.85