Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $323.59	Professional		$87.10	$117.49	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $245.47	Professional	26	$51.29	$74.13	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $74.13	Professional	TC	$25.70	$37.15	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $363.08	Professional		$107.15	$125.89	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $218.78	Professional		$102.33	$154.88	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $102.33 / $131.83	Professional	26	$74.13	$102.33	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $47.86 / $93.33	Professional	TC	$28.18	$47.86	$93.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $363.08	Professional		$114.82	$128.82	$363.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $81.28 / $204.17	Professional	26	$72.44	$81.28	$204.17
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $56.23 / $72.44	Professional	TC	$33.11	$56.23	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $229.09	Professional		$95.50	$128.82	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $131.83	Professional	26	$57.54	$85.11	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $100.00	Professional	TC	$32.36	$43.65	$100.00