Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $239.88	Professional		$114.82	$181.97	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $79.43	Professional	26	$19.95	$28.18	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $151.36 / $213.80	Professional	TC	$93.33	$151.36	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $457.09	Professional		$169.82	$169.82	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $85.11	Professional	26	$28.84	$28.84	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $169.82 / $204.17	Professional	TC	$169.82	$169.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $457.09	Professional		$144.54	$251.19	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $31.62 / $85.11	Professional	26	$20.42	$31.62	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $177.83 / $346.74	Professional	TC	$117.49	$177.83	$346.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $457.09	Professional		$128.82	$131.83	$457.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $26.30 / $85.11	Professional	26	$23.44	$26.30	$85.11
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $104.71 / $169.82	Professional	TC	$104.71	$104.71	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $323.59	Professional		$125.89	$181.97	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $29.51 / $56.23	Professional	26	$24.55	$29.51	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $147.91 / $245.47	Professional	TC	$100.00	$147.91	$245.47