Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $58.28 / $71.55	Professional		$50.20	$58.28	$71.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $15.96 / $19.73	Professional	26	$13.61	$15.96	$19.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.57 / $42.01 / $50.21	Professional	TC	$36.57	$42.01	$50.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.17 / $91.17 / $91.17	Facility	26	$91.17	$91.17	$91.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $75.84 / $218.92	Professional		$64.33	$75.84	$218.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $19.77 / $52.33	Professional	26	$19.77	$19.77	$52.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.28 / $48.28 / $56.91	Professional	TC	$48.28	$48.28	$56.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $76.08 / $218.92	Professional		$66.92	$76.08	$218.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $21.65 / $52.33	Professional	26	$18.48	$21.65	$52.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.67 / $57.01 / $91.13	Professional	TC	$45.67	$57.01	$91.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $76.08 / $218.92	Professional		$66.92	$76.08	$218.92
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $21.65 / $52.33	Professional	26	$18.48	$21.65	$52.33
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $45.15 / $51.32 / $79.93	Professional	TC	$45.15	$51.32	$79.93
United Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $79.08 / $184.09	Professional		$52.44	$79.08	$184.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $20.27 / $55.67	Professional	26	$13.49	$20.27	$55.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.58 / $54.65 / $177.21	Professional	TC	$36.58	$54.65	$177.21