Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $436.52	Professional		$251.19	$309.03	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $107.15 / $169.82	Professional	26	$91.20	$107.15	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $199.53 / $302.00	Professional	TC	$151.36	$199.53	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $870.96	Professional		$257.04	$380.19	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $141.25 / $234.42	Professional	26	$109.65	$141.25	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $239.88 / $346.74	Professional	TC	$154.88	$239.88	$346.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,023.29	Professional		$389.05	$616.60	$1,023.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $147.91 / $363.08	Professional	26	$125.89	$147.91	$363.08
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $467.74 / $467.74	Professional	TC	$257.04	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $776.25	Professional		$251.19	$363.08	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $147.91 / $426.58	Professional	26	$123.03	$147.91	$426.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $630.96	Professional	TC	$138.04	$218.78	$630.96