Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $40.75 / $42.81	Professional		$35.04	$40.75	$42.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $12.35 / $12.68	Professional	26	$10.60	$12.35	$12.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $28.07 / $30.45	Professional	TC	$24.44	$28.07	$30.45
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.04 / $71.04 / $71.04	Facility	26	$71.04	$71.04	$71.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $59.47 / $160.29	Professional		$50.46	$59.47	$160.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $19.30 / $43.74	Professional	26	$16.38	$19.30	$43.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.84 / $34.84 / $34.84	Professional	TC	$34.84	$34.84	$34.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $54.99 / $160.29	Professional		$51.35	$54.99	$160.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $17.39 / $43.74	Professional	26	$15.04	$17.39	$43.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.82 / $38.86 / $62.09	Professional	TC	$33.82	$38.86	$62.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $54.99 / $160.29	Professional		$49.64	$54.99	$160.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $17.39 / $43.74	Professional	26	$15.04	$17.39	$43.74
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.51 / $36.34 / $57.23	Professional	TC	$33.51	$36.34	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $56.95 / $170.51	Professional		$37.84	$56.95	$170.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $16.05 / $46.53	Professional	26	$11.55	$16.05	$46.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.49 / $39.26 / $96.30	Professional	TC	$25.49	$39.26	$96.30