Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $50.76 / $53.72	Professional		$43.78	$50.76	$53.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.04 / $12.68	Professional	26	$10.61	$12.04	$12.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $38.08 / $41.31	Professional	TC	$33.15	$38.08	$41.31
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 $62.23 / $73.36 / $226.07	Professional		$62.23	$73.36	$226.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $18.23 / $48.06	Professional	26	$15.48	$18.23	$48.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.94 / $45.94 / $54.16	Professional	TC	$45.94	$45.94	$54.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $77.55 / $226.07	Professional		$63.62	$77.55	$226.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $17.07 / $48.06	Professional	26	$15.63	$17.07	$48.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.55 / $51.34 / $88.85	Professional	TC	$46.55	$51.34	$88.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $70.56 / $226.07	Professional		$60.09	$70.56	$226.07
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $17.07 / $48.06	Professional	26	$16.12	$17.07	$48.06
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $43.97 / $48.14 / $88.85	Professional	TC	$43.97	$48.14	$88.85
United Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $70.40 / $240.48	Professional		$49.71	$70.40	$240.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $17.52 / $51.12	Professional	26	$12.26	$17.52	$51.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.70 / $55.80 / $149.47	Professional	TC	$39.70	$55.80	$149.47