Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $42.89 / $45.02	Professional		$36.88	$42.89	$45.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.40 / $14.21	Professional	26	$11.50	$13.40	$14.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $29.14 / $31.62	Professional	TC	$25.37	$29.14	$31.62
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 $55.50 / $55.50 / $187.49	Professional		$55.50	$55.50	$187.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $17.76 / $58.08	Professional	26	$17.76	$17.76	$58.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $37.79 / $44.55	Professional	TC	$37.79	$37.79	$44.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $63.84 / $187.49	Professional		$52.03	$63.84	$187.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $20.01 / $58.08	Professional	26	$17.04	$20.01	$58.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $39.99 / $63.91	Professional	TC	$33.40	$39.99	$63.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $60.96 / $187.49	Professional		$51.34	$60.96	$187.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $20.01 / $58.08	Professional	26	$17.57	$20.01	$58.08
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $36.47 / $63.72	Professional	TC	$32.35	$36.47	$63.72
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $61.08 / $199.44	Professional		$41.49	$61.08	$199.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $20.17 / $61.79	Professional	26	$14.41	$20.17	$61.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $39.93 / $137.65	Professional	TC	$27.08	$39.93	$137.65