Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $707.95	Professional		$208.93	$295.12	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $169.82 / $426.58	Professional	26	$123.03	$169.82	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $102.33 / $154.88	Professional	TC	$85.11	$102.33	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $776.25	Professional		$537.03	$537.03	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $323.59 / $467.74	Professional	26	$316.23	$323.59	$467.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $213.80 / $213.80	Professional	TC	$204.17	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $524.81	Professional		$275.42	$309.03	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $181.97 / $302.00	Professional	26	$158.49	$181.97	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $131.83 / $173.78	Professional	TC	$114.82	$131.83	$173.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $776.25	Professional		$269.15	$316.23	$776.25
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $186.21 / $467.74	Professional	26	$158.49	$186.21	$467.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $128.82 / $128.82	Professional	TC	$107.15	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $954.99	Professional		$302.00	$338.84	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $199.53 / $549.54	Professional	26	$158.49	$199.53	$549.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $138.04 / $371.54	Professional	TC	$123.03	$138.04	$371.54