Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.06 / $173.06 / $173.06	Facility	26	$173.06	$173.06	$173.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.79 / $281.82 / $290.58	Professional		$249.79	$281.82	$290.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.82 / $165.65 / $173.06	Professional	26	$154.82	$165.65	$173.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.97 / $116.17 / $117.52	Professional	TC	$94.97	$116.17	$117.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.57 / $627.57 / $906.13	Professional		$627.57	$627.57	$906.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $386.30 / $386.30 / $562.89	Professional	26	$386.30	$386.30	$562.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.78 / $241.27 / $241.27	Professional	TC	$229.78	$241.27	$241.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $350.13 / $906.13	Professional		$197.09	$350.13	$906.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.40 / $219.64 / $562.89	Professional	26	$118.40	$219.64	$562.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.69 / $134.65 / $233.66	Professional	TC	$78.69	$134.65	$233.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $310.79 / $358.86 / $596.09	Professional		$310.79	$358.86	$596.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $190.29 / $222.38 / $362.44	Professional	26	$190.29	$222.38	$362.44
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $124.16 / $139.21 / $196.84	Professional	TC	$124.16	$139.21	$196.84
United Facility/Professional Professional Modifier Low / Median / High Price $314.87 / $416.21 / $784.96	Professional		$314.87	$416.21	$784.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $227.64 / $237.75 / $661.77	Professional	26	$227.64	$237.75	$661.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.76 / $157.32 / $421.29	Professional	TC	$146.76	$157.32	$421.29