Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $190.40 / $279.60	Professional		$132.82	$190.40	$279.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $21.94 / $90.00	Professional	26	$18.76	$21.94	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.84 / $169.58 / $247.96	Professional	TC	$110.84	$169.58	$247.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $198.58 / $455.91	Professional		$168.47	$198.58	$455.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $33.84 / $84.18	Professional	26	$28.71	$33.84	$84.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.56 / $171.56 / $202.24	Professional	TC	$171.56	$171.56	$202.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $238.14 / $455.91	Professional		$137.76	$238.14	$455.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $31.59 / $84.18	Professional	26	$21.70	$31.59	$84.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.48 / $179.31 / $295.02	Professional	TC	$112.48	$179.31	$295.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $205.18 / $455.91	Professional		$137.76	$205.18	$455.91
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.27 / $31.59 / $84.18	Professional	26	$25.27	$31.59	$84.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $112.48 / $162.26 / $236.09	Professional	TC	$112.48	$162.26	$236.09
United Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $211.76 / $559.58	Professional		$131.37	$211.76	$559.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.92 / $30.37 / $101.02	Professional	26	$24.92	$30.37	$101.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.13 / $186.01 / $431.08	Professional	TC	$105.13	$186.01	$431.08