Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $41.46 / $51.66	Professional		$35.63	$41.46	$51.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.40 / $16.67	Professional	26	$11.50	$13.40	$16.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $27.71 / $34.97	Professional	TC	$24.12	$27.71	$34.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.48 / $77.48 / $77.48	Facility	26	$77.48	$77.48	$77.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $62.85 / $180.34	Professional		$53.31	$62.85	$180.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $17.30 / $53.77	Professional	26	$17.30	$17.30	$53.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.93 / $36.93 / $43.53	Professional	TC	$36.93	$36.93	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $61.38 / $180.34	Professional		$50.37	$61.38	$180.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $18.64 / $53.77	Professional	26	$17.04	$18.64	$53.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.80 / $38.29 / $62.09	Professional	TC	$31.80	$38.29	$62.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $59.26 / $180.34	Professional		$49.71	$59.26	$180.34
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $18.64 / $53.77	Professional	26	$17.57	$18.64	$53.77
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $30.87 / $35.35 / $62.09	Professional	TC	$30.87	$35.35	$62.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $58.03 / $191.84	Professional		$39.43	$58.03	$191.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $20.17 / $57.20	Professional	26	$13.37	$20.17	$57.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $37.67 / $134.63	Professional	TC	$26.40	$37.67	$134.63