Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $125.08 / $590.00	Professional		$91.72	$125.08	$590.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $16.97 / $116.25	Professional	26	$13.72	$16.97	$116.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.81 / $108.11 / $172.15	Professional	TC	$101.81	$108.11	$172.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $219.23 / $455.10	Professional		$185.98	$219.23	$455.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $238.38 / $455.10	Professional		$137.18	$238.38	$455.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $27.28 / $82.16	Professional	26	$19.98	$27.28	$82.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.11 / $184.41 / $282.14	Professional	TC	$112.11	$184.41	$282.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $204.40 / $455.10	Professional		$137.18	$204.40	$455.10
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $25.77 / $82.16	Professional	26	$19.98	$25.77	$82.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $112.11 / $168.87 / $237.71	Professional	TC	$112.11	$168.87	$237.71
United Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $204.20 / $558.59	Professional		$131.47	$204.20	$558.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $25.26 / $99.92	Professional	26	$21.36	$25.26	$99.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.85 / $188.62 / $434.05	Professional	TC	$105.85	$188.62	$434.05