Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $132.13 / $593.00	Professional		$103.75	$132.13	$593.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $22.97 / $105.00	Professional	26	$20.50	$22.97	$105.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.24 / $106.95 / $161.71	Professional	TC	$101.24	$106.95	$161.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.49 / $676.49 / $706.03	Facility		$676.49	$676.49	$706.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.69 / $221.24 / $431.56	Professional		$187.69	$221.24	$431.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $268.14	Facility		$268.14	$268.14	$268.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $220.87 / $431.56	Professional		$130.59	$220.87	$431.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $33.92 / $82.16	Professional	26	$22.63	$33.92	$82.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.31 / $177.91 / $269.93	Professional	TC	$105.31	$177.91	$269.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $268.14	Facility		$268.14	$268.14	$268.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $206.37 / $431.56	Professional		$130.59	$206.37	$431.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.27 / $33.92 / $82.16	Professional	26	$25.27	$33.92	$82.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $105.31 / $159.99 / $219.87	Professional	TC	$105.31	$159.99	$219.87
United Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $196.08 / $500.76	Professional		$122.27	$196.08	$500.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $33.40 / $99.31	Professional	26	$25.26	$33.40	$99.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.58 / $165.16 / $401.45	Professional	TC	$97.58	$165.16	$401.45