Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $870.96	Professional		$177.83	$275.42	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $120.23	Professional	26	$28.18	$45.71	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $724.44	Professional	TC	$141.25	$199.53	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $707.95	Professional		$323.59	$380.19	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $91.20 / $134.90	Professional	26	$79.43	$91.20	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $275.42 / $323.59	Professional	TC	$275.42	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $707.95	Professional		$223.87	$371.54	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $47.86 / $134.90	Professional	26	$30.90	$47.86	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $281.84 / $512.86	Professional	TC	$181.97	$281.84	$512.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $707.95	Professional		$194.98	$204.17	$707.95
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $41.69 / $134.90	Professional	26	$38.02	$41.69	$134.90
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $162.18 / $257.04	Professional	TC	$158.49	$162.18	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $501.19	Professional		$194.98	$288.40	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $43.65 / $89.13	Professional	26	$38.90	$43.65	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $229.09 / $371.54	Professional	TC	$154.88	$229.09	$371.54