Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $380.19	Professional		$95.50	$128.82	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $269.15	Professional	26	$58.88	$75.86	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $74.13	Professional	TC	$30.20	$39.81	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $389.05	Professional		$123.03	$147.91	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $234.42	Professional		$114.82	$177.83	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $144.54	Professional	26	$81.28	$114.82	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $53.70 / $100.00	Professional	TC	$32.36	$53.70	$100.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $389.05	Professional		$125.89	$138.04	$389.05
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $89.13 / $218.78	Professional	26	$79.43	$89.13	$218.78
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $60.26 / $77.62	Professional	TC	$38.02	$60.26	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $245.47	Professional		$102.33	$144.54	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $144.54	Professional	26	$61.66	$100.00	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $46.77 / $107.15	Professional	TC	$34.67	$46.77	$107.15