Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $49.68 / $51.98	Professional		$42.67	$49.68	$51.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $16.87 / $17.32	Professional	26	$14.49	$16.87	$17.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $32.36 / $35.11	Professional	TC	$28.17	$32.36	$35.11
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $662.16 / $662.16 / $729.21	Facility	TC	$662.16	$662.16	$729.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $61.36 / $190.32	Professional		$61.36	$61.36	$190.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.64 / $56.64 / $56.64	Professional	26	$56.64	$56.64	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $65.31 / $190.32	Professional		$62.43	$65.31	$190.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $24.03 / $56.64	Professional	26	$19.47	$24.03	$56.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.26 / $44.53 / $71.17	Professional	TC	$38.26	$44.53	$71.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $65.31 / $190.32	Professional		$61.12	$65.31	$190.32
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $24.03 / $56.64	Professional	26	$19.47	$24.03	$56.64
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $38.26 / $41.28 / $66.95	Professional	TC	$38.26	$41.28	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $70.12 / $202.46	Professional		$45.61	$70.12	$202.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.97 / $25.42 / $55.05	Professional	26	$14.97	$25.42	$55.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $45.35 / $142.19	Professional	TC	$29.64	$45.35	$142.19