Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $105.23 / $145.80	Professional		$92.06	$105.23	$145.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $14.12 / $19.26	Professional	26	$12.60	$14.12	$19.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.45 / $89.04 / $126.99	Professional	TC	$79.45	$89.04	$126.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $153.47 / $467.90	Professional		$125.12	$153.47	$467.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $141.30 / $254.21	Professional		$81.69	$141.30	$254.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $16.07 / $34.34	Professional	26	$12.38	$16.07	$34.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $101.36 / $128.99	Professional	TC	$69.31	$101.36	$128.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $140.72 / $209.54	Professional		$94.11	$140.72	$209.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $16.07 / $28.31	Professional	26	$13.06	$16.07	$28.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $77.08 / $113.86 / $136.12	Professional	TC	$77.08	$113.86	$136.12
United Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $114.44 / $464.17	Professional		$97.59	$114.44	$464.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $20.25 / $62.72	Professional	26	$13.66	$20.25	$62.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.84 / $108.50 / $260.79	Professional	TC	$89.84	$108.50	$260.79