Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $65.64 / $71.06	Professional		$56.75	$65.64	$71.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $16.52 / $17.07	Professional	26	$14.36	$16.52	$17.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $48.57 / $55.55	Professional	TC	$42.39	$48.57	$55.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $92.02 / $299.76	Professional		$78.06	$92.02	$299.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $19.01 / $63.16	Professional	26	$19.01	$19.01	$63.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.77 / $57.77 / $68.50	Professional	TC	$57.77	$57.77	$68.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $102.83 / $299.76	Professional		$81.44	$102.83	$299.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $22.08 / $63.16	Professional	26	$21.31	$22.08	$63.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.13 / $72.89 / $116.53	Professional	TC	$60.13	$72.89	$116.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $98.72 / $299.76	Professional		$81.44	$98.72	$299.76
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $22.08 / $63.16	Professional	26	$21.31	$22.08	$63.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $60.13 / $67.45 / $116.42	Professional	TC	$60.13	$67.45	$116.42
United Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $94.91 / $257.14	Professional		$65.14	$94.91	$257.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $24.41 / $67.19	Professional	26	$16.46	$24.41	$67.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.37 / $70.08 / $251.68	Professional	TC	$49.37	$70.08	$251.68