Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $933.25	Professional		$194.98	$245.47	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $309.03	Professional	26	$67.61	$91.20	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $151.36 / $245.47	Professional	TC	$123.03	$151.36	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $302.00	Professional		$257.04	$257.04	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $676.08	Professional		$194.98	$407.38	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $141.25 / $245.47	Professional	26	$66.07	$141.25	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $245.47 / $346.74	Professional	TC	$128.82	$245.47	$346.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $676.08	Professional		$190.55	$194.98	$676.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $75.86 / $245.47	Professional	26	$69.18	$75.86	$245.47
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $123.03 / $269.15	Professional	TC	$120.23	$123.03	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $478.63	Professional		$194.98	$257.04	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $162.18	Professional	26	$72.44	$102.33	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $169.82 / $275.42	Professional	TC	$120.23	$169.82	$275.42