Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $121.65 / $223.86	Professional		$113.82	$121.65	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $13.74 / $33.99	Professional	26	$11.77	$13.74	$33.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $107.91 / $287.00	Professional	TC	$102.06	$107.91	$287.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.94 / $244.94 / $246.66	Facility		$244.94	$244.94	$246.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $217.37 / $538.33	Professional		$217.37	$217.37	$538.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $225.36 / $624.21	Professional		$162.12	$225.36	$624.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $27.02 / $90.20	Professional	26	$14.67	$27.02	$90.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.59 / $191.75 / $534.01	Professional	TC	$137.59	$191.75	$534.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $274.93 / $538.33	Professional		$162.12	$274.93	$538.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $25.57 / $81.14	Professional	26	$17.30	$25.57	$81.14
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $137.59 / $209.46 / $507.75	Professional	TC	$137.59	$209.46	$507.75
United Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $235.73 / $642.52	Professional		$142.08	$235.73	$642.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $33.47 / $98.90	Professional	26	$17.44	$33.47	$98.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.21 / $208.43 / $543.62	Professional	TC	$120.21	$208.43	$543.62