Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $78.12 / $82.79	Professional		$67.39	$78.12	$82.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $18.98 / $19.30	Professional	26	$16.17	$18.98	$19.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.21 / $58.81 / $63.78	Professional	TC	$51.21	$58.81	$63.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $107.12 / $107.12 / $107.12	Facility	26	$107.12	$107.12	$107.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $264.02	Professional		$80.51	$80.51	$264.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $22.19 / $61.72	Professional	26	$22.19	$22.19	$61.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.06 / $60.06 / $60.06	Professional	TC	$60.06	$60.06	$60.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $95.43 / $264.02	Professional		$84.66	$95.43	$264.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $24.06 / $61.72	Professional	26	$21.20	$24.06	$61.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.44 / $68.39 / $126.51	Professional	TC	$62.44	$68.39	$126.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $90.14 / $264.02	Professional		$80.14	$90.14	$264.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $23.33 / $61.72	Professional	26	$21.20	$23.33	$61.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $57.57 / $68.39 / $100.21	Professional	TC	$57.57	$68.39	$100.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $97.10 / $280.85	Professional		$61.57	$97.10	$280.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $24.41 / $65.66	Professional	26	$17.07	$24.41	$65.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.86 / $72.69 / $215.19	Professional	TC	$45.86	$72.69	$215.19