Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $55.40 / $58.30	Professional		$47.68	$55.40	$58.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.82 / $16.25	Professional	26	$13.58	$15.82	$16.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $39.15 / $42.47	Professional	TC	$34.09	$39.15	$42.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $92.30 / $92.30 / $92.30	Facility	26	$92.30	$92.30	$92.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $78.28 / $224.00	Professional		$66.41	$78.28	$224.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $20.23 / $64.59	Professional	26	$20.23	$20.23	$64.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.96 / $46.96 / $55.36	Professional	TC	$46.96	$46.96	$55.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $76.36 / $224.00	Professional		$64.43	$76.36	$224.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $22.57 / $64.59	Professional	26	$20.30	$22.57	$64.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.22 / $53.04 / $84.78	Professional	TC	$42.22	$53.04	$84.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $76.36 / $224.00	Professional		$64.43	$76.36	$224.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.94 / $22.57 / $64.59	Professional	26	$20.94	$22.57	$64.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $42.22 / $48.31 / $79.12	Professional	TC	$42.22	$48.31	$79.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $76.38 / $238.28	Professional		$50.64	$76.38	$238.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $23.09 / $68.72	Professional	26	$15.93	$23.09	$68.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.71 / $49.68 / $169.56	Professional	TC	$34.71	$49.68	$169.56