Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $214.11 / $971.00	Professional		$190.78	$214.11	$971.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $37.40 / $121.00	Professional	26	$30.47	$37.40	$121.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.75 / $171.78 / $849.24	Professional	TC	$161.75	$171.78	$849.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $379.87 / $703.86	Professional		$322.25	$379.87	$703.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.94 / $79.94 / $136.31	Professional	26	$79.94	$79.94	$136.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $273.18 / $273.18 / $322.02	Professional	TC	$273.18	$273.18	$322.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $368.73 / $703.86	Professional		$210.69	$368.73	$703.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $47.95 / $136.31	Professional	26	$33.35	$47.95	$136.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.29 / $271.97 / $425.58	Professional	TC	$169.29	$271.97	$425.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $311.47 / $703.86	Professional		$210.69	$311.47	$703.86
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $39.50 / $47.95 / $136.31	Professional	26	$39.50	$47.95	$136.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $169.29 / $249.06 / $365.02	Professional	TC	$169.29	$249.06	$365.02
United Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $328.54 / $829.08	Professional		$203.55	$328.54	$829.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.74 / $46.38 / $162.59	Professional	26	$38.74	$46.38	$162.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.63 / $290.56 / $666.49	Professional	TC	$154.63	$290.56	$666.49