Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.51 / $110.51 / $110.51	Facility	26	$110.51	$110.51	$110.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.33 / $369.77 / $378.00	Professional		$238.33	$369.77	$378.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.32 / $105.12 / $110.51	Professional	26	$99.32	$105.12	$110.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.01 / $264.64 / $267.49	Professional	TC	$139.01	$264.64	$267.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $421.13 / $1,012.16	Professional		$207.93	$421.13	$1,012.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.93 / $143.78 / $364.10	Professional	26	$76.93	$143.78	$364.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.65 / $242.63 / $347.65	Professional	TC	$125.65	$242.63	$347.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $436.36 / $876.59	Professional		$259.14	$436.36	$876.59
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $126.07 / $143.78 / $234.04	Professional	26	$126.07	$143.78	$234.04
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $175.51 / $277.35 / $472.54	Professional	TC	$175.51	$277.35	$472.54
United Facility/Professional Professional Modifier Low / Median / High Price $248.23 / $365.34 / $1,062.08	Professional		$248.23	$365.34	$1,062.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $135.31 / $147.00 / $427.34	Professional	26	$135.31	$147.00	$427.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.50 / $218.34 / $634.74	Professional	TC	$136.50	$218.34	$634.74