Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $199.53	Professional		$123.03	$147.91	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $186.21	Professional	26	$39.81	$50.12	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $104.71 / $147.91	Professional	TC	$77.62	$104.71	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $457.09	Professional		$208.93	$208.93	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $457.09	Professional		$128.82	$169.82	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $104.71	Professional	26	$50.12	$63.10	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $109.65 / $190.55	Professional	TC	$77.62	$109.65	$190.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $457.09	Professional		$158.49	$288.40	$457.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $66.07 / $162.18	Professional	26	$56.23	$66.07	$162.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $223.87 / $223.87	Professional	TC	$100.00	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $537.03	Professional		$147.91	$181.97	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $190.55	Professional	26	$52.48	$64.57	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $117.49 / $346.74	Professional	TC	$81.28	$117.49	$346.74