Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $45.04 / $47.41	Professional		$38.77	$45.04	$47.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $12.81 / $13.39	Professional	26	$11.21	$12.81	$13.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.64 / $34.33	Professional	TC	$27.55	$31.64	$34.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $75.34 / $75.34 / $75.34	Facility	26	$75.34	$75.34	$75.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $70.56 / $200.35	Professional		$59.86	$70.56	$200.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $19.37 / $52.33	Professional	26	$16.44	$19.37	$52.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $50.29	Professional	TC	$42.66	$42.66	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $68.23 / $200.35	Professional		$56.76	$68.23	$200.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $18.37 / $52.33	Professional	26	$16.57	$18.37	$52.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.26 / $43.39 / $73.45	Professional	TC	$38.26	$43.39	$73.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $63.78 / $200.35	Professional		$54.40	$63.78	$200.35
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $18.37 / $52.33	Professional	26	$17.09	$18.37	$52.33
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $37.31 / $40.82 / $73.45	Professional	TC	$37.31	$40.82	$73.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $65.17 / $213.12	Professional		$44.23	$65.17	$213.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $19.03 / $50.96	Professional	26	$13.02	$19.03	$50.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $46.14 / $123.60	Professional	TC	$32.85	$46.14	$123.60