Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.81 / $87.81 / $87.81	Facility	26	$87.81	$87.81	$87.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $143.08 / $163.31	Professional		$135.32	$143.08	$163.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.52 / $83.62 / $87.81	Professional	26	$79.52	$83.62	$87.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.79 / $58.16 / $83.79	Professional	TC	$54.79	$58.16	$83.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $589.40 / $589.40	Professional		$185.32	$589.40	$589.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.78 / $141.19 / $290.19	Professional	26	$119.78	$141.19	$290.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.63 / $96.63 / $113.91	Professional	TC	$96.63	$96.63	$113.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $223.27 / $589.40	Professional		$130.37	$223.27	$589.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.01 / $114.23 / $290.19	Professional	26	$62.01	$114.23	$290.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.35 / $109.04 / $203.19	Professional	TC	$42.35	$109.04	$203.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $226.42 / $390.82	Professional		$146.57	$226.42	$390.82
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $98.70 / $114.23 / $187.63	Professional	26	$98.70	$114.23	$187.63
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $42.35 / $118.73 / $176.64	Professional	TC	$42.35	$118.73	$176.64
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $225.57 / $713.58	Professional		$157.66	$225.57	$713.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.56 / $117.85 / $342.61	Professional	26	$108.56	$117.85	$342.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $127.61 / $367.24	Professional	TC	$44.84	$127.61	$367.24