Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $105.38 / $416.00	Professional		$87.93	$105.38	$416.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.67 / $72.38 / $281.00	Professional	26	$59.67	$72.38	$281.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.27 / $32.22 / $84.04	Professional	TC	$28.27	$32.22	$84.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $124.15 / $391.56	Professional		$124.15	$124.15	$391.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $179.77 / $391.56	Professional		$115.68	$179.77	$391.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.89 / $123.06 / $219.94	Professional	26	$80.89	$123.06	$219.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.67 / $57.47 / $99.50	Professional	TC	$33.67	$57.47	$99.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $165.85 / $231.37	Professional		$105.08	$165.85	$231.37
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $79.58 / $114.83 / $219.94	Professional	26	$79.58	$114.83	$219.94
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.67 / $51.82 / $81.56	Professional	TC	$33.67	$51.82	$81.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $145.15 / $410.82	Professional		$103.02	$145.15	$410.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $101.83 / $261.89	Professional	26	$61.71	$101.83	$261.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.33 / $45.81 / $148.91	Professional	TC	$36.33	$45.81	$148.91