Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $223.87	Professional		$43.65	$77.62	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $27.54 / $64.57	Professional	26	$12.88	$27.54	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $51.29 / $120.23	Professional	TC	$30.20	$51.29	$120.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $263.03	Professional		$79.43	$93.33	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $60.26	Professional	26	$23.44	$23.44	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $60.26 / $70.79	Professional	TC	$60.26	$60.26	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $199.53	Professional		$75.86	$91.20	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.70 / $54.95	Professional	26	$20.89	$25.70	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $147.91	Professional	TC	$52.48	$69.18	$147.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $263.03	Professional		$63.10	$63.10	$263.03
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $60.26	Professional	26	$18.62	$18.62	$60.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $213.80	Professional		$61.66	$85.11	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $21.38 / $48.98	Professional	26	$15.49	$21.38	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $60.26 / $165.96	Professional	TC	$44.67	$60.26	$165.96