Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.37 / $144.37 / $144.37	Facility	26	$144.37	$144.37	$144.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $240.87 / $248.23	Professional		$215.76	$240.87	$248.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.44 / $138.21 / $144.37	Professional	26	$129.44	$138.21	$144.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.31 / $102.67 / $103.86	Professional	TC	$86.31	$102.67	$103.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.48 / $536.48 / $775.10	Professional		$536.48	$536.48	$775.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $316.48 / $322.25 / $469.69	Professional	26	$316.48	$322.25	$469.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.73 / $203.73 / $214.23	Professional	TC	$203.73	$203.73	$214.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $307.33 / $775.10	Professional		$169.54	$307.33	$775.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.56 / $185.25 / $469.69	Professional	26	$99.56	$185.25	$469.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.98 / $130.44 / $216.97	Professional	TC	$69.98	$130.44	$216.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $265.44 / $314.47 / $521.22	Professional		$265.44	$314.47	$521.22
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $158.59 / $186.00 / $304.25	Professional	26	$158.59	$186.00	$304.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $108.90 / $128.11 / $173.97	Professional	TC	$108.90	$128.11	$173.97
United Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $337.37 / $951.35	Professional		$255.18	$337.37	$951.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $191.10 / $198.34 / $555.54	Professional	26	$191.10	$198.34	$555.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.28 / $139.03 / $374.85	Professional	TC	$136.28	$139.03	$374.85