Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $190.55	Professional		$48.98	$100.00	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $25.70 / $51.29	Professional	26	$11.75	$25.70	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $67.61 / $134.90	Professional	TC	$33.88	$67.61	$134.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $218.78	Professional		$64.57	$64.57	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $19.95 / $52.48	Professional	26	$19.95	$19.95	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $47.86 / $57.54	Professional	TC	$47.86	$47.86	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $158.49	Professional		$67.61	$75.86	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $21.88 / $47.86	Professional	26	$18.62	$21.88	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $57.54 / $123.03	Professional	TC	$45.71	$57.54	$123.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $218.78	Professional		$50.12	$50.12	$218.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $52.48	Professional	26	$16.22	$16.22	$52.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	TC	$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $177.83	Professional		$50.12	$69.18	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.62 / $42.66	Professional	26	$13.49	$18.62	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $48.98 / $138.04	Professional	TC	$35.48	$48.98	$138.04