Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $45.38 / $49.57	Professional		$40.39	$45.38	$49.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $11.25	Professional	26	$9.41	$10.97	$11.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $34.70 / $38.59	Professional	TC	$30.98	$34.70	$38.59
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 $57.86 / $68.20 / $188.89	Professional		$57.86	$68.20	$188.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $17.78 / $49.50	Professional	26	$15.09	$17.78	$49.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.71 / $42.71 / $42.71	Professional	TC	$42.71	$42.71	$42.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $65.30 / $188.89	Professional		$53.47	$65.30	$188.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $17.01 / $49.50	Professional	26	$14.51	$17.01	$49.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $48.29 / $78.42	Professional	TC	$38.77	$48.29	$78.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $65.30 / $188.89	Professional		$53.47	$65.30	$188.89
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $17.01 / $49.50	Professional	26	$14.68	$17.01	$49.50
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $45.29 / $69.39	Professional	TC	$38.75	$45.29	$69.39
United Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $64.25 / $163.65	Professional		$43.71	$64.25	$163.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $16.85 / $52.65	Professional	26	$12.00	$16.85	$52.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.54 / $49.07 / $148.28	Professional	TC	$32.54	$49.07	$148.28