Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $238.10 / $943.00	Professional		$171.67	$238.10	$943.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.20 / $63.40 / $242.00	Professional	26	$45.20	$63.40	$242.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.47 / $169.58 / $293.55	Professional	TC	$126.47	$169.58	$293.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.03 / $279.39 / $585.29	Professional		$237.03	$279.39	$585.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $301.66 / $585.29	Professional		$177.46	$301.66	$585.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $78.79 / $136.79	Professional	26	$41.71	$78.79	$136.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.69 / $195.09 / $338.28	Professional	TC	$135.69	$195.09	$338.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $273.87 / $585.29	Professional		$177.46	$273.87	$585.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $78.79 / $136.79	Professional	26	$41.76	$78.79	$136.79
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $135.69 / $178.65 / $283.93	Professional	TC	$135.69	$178.65	$283.93
United Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $292.60 / $681.67	Professional		$166.31	$292.60	$681.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $81.18 / $163.25	Professional	26	$40.78	$81.18	$163.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.06 / $210.81 / $518.41	Professional	TC	$126.06	$210.81	$518.41