Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $323.59	Professional		$144.54	$177.83	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $87.10 / $316.23	Professional	26	$75.86	$87.10	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $91.20 / $128.82	Professional	TC	$57.54	$91.20	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $218.78	Professional		$186.21	$218.78	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $288.40	Professional	26	$120.23	$120.23	$288.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $389.05	Professional		$131.83	$223.87	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $109.65 / $186.21	Professional	26	$87.10	$109.65	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $109.65 / $177.83	Professional	TC	$41.69	$109.65	$177.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $588.84	Professional		$199.53	$234.42	$588.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $288.40	Professional	26	$97.72	$114.82	$288.40
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $120.23 / $120.23	Professional	TC	$100.00	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $562.34	Professional		$158.49	$245.47	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $117.49 / $338.84	Professional	26	$97.72	$117.49	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $128.82 / $363.08	Professional	TC	$44.67	$128.82	$363.08