Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $53.99 / $57.39	Professional		$46.61	$53.99	$57.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $11.98	Professional	26	$10.02	$11.82	$11.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.57 / $42.01 / $45.57	Professional	TC	$36.57	$42.01	$45.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $65.76 / $65.76 / $65.76	Facility	26	$65.76	$65.76	$65.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $67.42 / $173.15	Professional		$57.19	$67.42	$173.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $16.23 / $45.18	Professional	26	$13.78	$16.23	$45.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.12 / $43.12 / $50.82	Professional	TC	$43.12	$43.12	$50.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $65.36 / $173.15	Professional		$55.93	$65.36	$173.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $15.54 / $45.18	Professional	26	$14.23	$15.54	$45.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $45.62 / $89.31	Professional	TC	$39.72	$45.62	$89.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $61.74 / $173.15	Professional		$55.29	$61.74	$173.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $15.54 / $45.18	Professional	26	$14.68	$15.54	$45.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $43.88 / $63.72	Professional	TC	$39.72	$43.88	$63.72
United Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $70.81 / $150.04	Professional		$44.07	$70.81	$150.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $15.99 / $48.06	Professional	26	$11.65	$15.99	$48.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.16 / $40.02 / $107.21	Professional	TC	$29.16	$40.02	$107.21