Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $151.36	Professional		$32.36	$48.98	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $45.71	Professional	26	$10.00	$15.14	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $120.23	Professional	TC	$21.88	$34.67	$120.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $199.53	Professional		$60.26	$60.26	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $52.48	Professional	26	$16.60	$16.60	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $50.12	Professional	TC	$42.66	$42.66	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $144.54	Professional		$54.95	$63.10	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.62 / $38.90	Professional	26	$15.85	$18.62	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $43.65 / $107.15	Professional	TC	$37.15	$43.65	$107.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $199.53	Professional		$43.65	$43.65	$199.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $52.48	Professional	26	$13.18	$13.18	$52.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	TC	$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $162.18	Professional		$46.77	$60.26	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $42.66	Professional	26	$12.88	$16.98	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $42.66 / $120.23	Professional	TC	$30.90	$42.66	$120.23