Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $831.76	Professional		$389.05	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $302.00	Professional	26	$83.18	$112.20	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $338.84 / $478.63	Professional	TC	$295.12	$338.84	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,584.89	Professional		$512.86	$512.86	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $977.24	Professional		$323.59	$537.03	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $199.53	Professional	26	$95.50	$120.23	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $416.87 / $741.31	Professional	TC	$223.87	$416.87	$741.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,584.89	Professional		$602.56	$707.95	$1,584.89
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $128.82 / $309.03	Professional	26	$109.65	$128.82	$309.03
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $588.84 / $588.84	Professional	TC	$478.63	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,348.96	Professional		$389.05	$588.84	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $123.03 / $363.08	Professional	26	$107.15	$123.03	$363.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $457.09 / $1,348.96	Professional	TC	$245.47	$457.09	$1,348.96