Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.37 / $205.37 / $205.37	Facility	26	$205.37	$205.37	$205.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $326.44 / $336.75	Professional		$290.30	$326.44	$336.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $183.39 / $196.59 / $205.37	Professional	26	$183.39	$196.59	$205.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.91 / $129.86 / $131.38	Professional	TC	$106.91	$129.86	$131.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.17 / $726.17 / $1,046.44	Professional		$726.17	$726.17	$1,046.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.92 / $410.08 / $1,046.44	Professional		$227.92	$410.08	$1,046.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.72 / $259.94 / $667.27	Professional	26	$140.72	$259.94	$667.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.20 / $149.16 / $259.60	Professional	TC	$87.20	$149.16	$259.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $360.26 / $410.48 / $689.92	Professional		$360.26	$410.48	$689.92
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $225.59 / $263.87 / $430.31	Professional	26	$225.59	$263.87	$430.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $138.41 / $151.34 / $220.06	Professional	TC	$138.41	$151.34	$220.06
United Facility/Professional Professional Modifier Low / Median / High Price $433.33 / $458.01 / $1,259.72	Professional		$433.33	$458.01	$1,259.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $270.27 / $282.14 / $785.70	Professional	26	$270.27	$282.14	$785.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.06 / $175.56 / $465.39	Professional	TC	$163.06	$175.56	$465.39