Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.30 / $50.30 / $50.30	Facility	26	$50.30	$50.30	$50.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $161.44 / $161.44	Professional		$123.12	$161.44	$161.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.04 / $50.30 / $50.30	Professional	26	$44.04	$50.30	$50.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.08 / $111.16 / $111.16	Professional	TC	$79.08	$111.16	$111.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $244.91 / $453.34	Professional		$207.77	$244.91	$453.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $170.58 / $453.34	Professional		$100.96	$170.58	$453.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $63.00 / $160.36	Professional	26	$33.72	$63.00	$160.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.23 / $107.58 / $188.59	Professional	TC	$67.23	$107.58	$188.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $194.31 / $453.34	Professional		$127.89	$194.31	$453.34
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $63.26 / $103.93	Professional	26	$55.72	$63.26	$103.93
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $77.38 / $111.12 / $225.33	Professional	TC	$77.38	$111.12	$225.33
United Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $172.90 / $534.09	Professional		$147.27	$172.90	$534.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.66 / $67.66 / $196.83	Professional	26	$53.66	$67.66	$196.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.67 / $118.44 / $344.31	Professional	TC	$80.67	$118.44	$344.31