Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $39.68 / $49.54	Professional		$34.17	$39.68	$49.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.08 / $13.64	Professional	26	$9.41	$11.08	$13.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $28.43 / $35.88	Professional	TC	$24.75	$28.43	$35.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.72 / $64.72 / $64.72	Facility	26	$64.72	$64.72	$64.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $58.29 / $167.44	Professional		$49.46	$58.29	$167.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $14.05 / $45.18	Professional	26	$14.05	$14.05	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $35.61 / $41.98	Professional	TC	$35.61	$35.61	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $57.45 / $167.44	Professional		$47.55	$57.45	$167.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $15.53 / $45.18	Professional	26	$14.23	$15.53	$45.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $39.42 / $63.00	Professional	TC	$32.85	$39.42	$63.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $56.94 / $167.44	Professional		$47.41	$56.94	$167.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $15.53 / $45.18	Professional	26	$14.68	$15.53	$45.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $36.47 / $60.47	Professional	TC	$32.35	$36.47	$60.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $54.47 / $145.91	Professional		$37.38	$54.47	$145.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $16.48 / $48.06	Professional	26	$11.31	$16.48	$48.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $39.53 / $130.05	Professional	TC	$26.21	$39.53	$130.05