Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.50 / $115.50 / $115.50	Facility	26	$115.50	$115.50	$115.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $199.15 / $205.12	Professional		$179.41	$199.15	$205.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.11 / $110.56 / $115.50	Professional	26	$104.11	$110.56	$115.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $88.59 / $89.61	Professional	TC	$75.31	$88.59	$89.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.10 / $443.10 / $642.27	Professional		$443.10	$443.10	$642.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $257.83 / $376.49 / $376.49	Professional	26	$257.83	$376.49	$376.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.10 / $178.10 / $185.30	Professional	TC	$178.10	$178.10	$185.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $254.47 / $642.27	Professional		$141.35	$254.47	$642.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.44 / $148.22 / $376.49	Professional	26	$80.44	$148.22	$376.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.91 / $113.76 / $189.40	Professional	TC	$60.91	$113.76	$189.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $258.92 / $434.78	Professional		$219.28	$258.92	$434.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $126.72 / $149.09 / $245.38	Professional	26	$126.72	$149.09	$245.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $94.22 / $109.86 / $150.10	Professional	TC	$94.22	$109.86	$150.10
United Facility/Professional Professional Modifier Low / Median / High Price $250.95 / $293.64 / $788.31	Professional		$250.95	$293.64	$788.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.11 / $157.02 / $448.01	Professional	26	$154.11	$157.02	$448.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.97 / $119.96 / $326.20	Professional	TC	$118.97	$119.96	$326.20