Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $207.82 / $902.00	Professional		$194.97	$207.82	$902.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $36.04 / $57.21	Professional	26	$30.82	$36.04	$57.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $160.19 / $169.96 / $272.75	Professional	TC	$160.19	$169.96	$272.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.43 / $985.67 / $1,396.54	Facility		$944.43	$985.67	$1,396.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $275.20 / $662.54	Professional		$233.48	$275.20	$662.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $585.87 / $585.87	Facility		$585.87	$585.87	$585.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.55 / $351.85 / $662.54	Professional		$200.55	$351.85	$662.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $51.40 / $133.38	Professional	26	$33.56	$51.40	$133.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.47 / $255.71 / $398.61	Professional	TC	$159.47	$255.71	$398.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $585.87 / $585.87	Facility		$585.87	$585.87	$585.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.55 / $298.04 / $662.54	Professional		$200.55	$298.04	$662.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $51.40 / $133.38	Professional	26	$40.90	$51.40	$133.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $159.47 / $227.22 / $339.88	Professional	TC	$159.47	$227.22	$339.88
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $291.89 / $779.83	Professional		$192.00	$291.89	$779.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $47.73 / $159.26	Professional	26	$38.40	$47.73	$159.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.30 / $248.19 / $620.57	Professional	TC	$151.30	$248.19	$620.57