Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $194.98	Professional		$30.90	$52.48	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $38.90	Professional	26	$8.91	$14.45	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $40.74 / $158.49	Professional	TC	$21.88	$40.74	$158.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $173.78	Professional		$57.54	$57.54	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $44.67	Professional	26	$13.80	$13.80	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $51.29	Professional	TC	$42.66	$42.66	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $138.04	Professional		$54.95	$66.07	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.49 / $36.31	Professional	26	$13.18	$15.49	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $50.12 / $100.00	Professional	TC	$39.81	$50.12	$100.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $173.78	Professional		$40.74	$40.74	$173.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $44.67	Professional	26	$11.75	$11.75	$44.67
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	TC	$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $141.25	Professional		$40.74	$63.10	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $36.31	Professional	26	$11.22	$14.45	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $104.71	Professional	TC	$28.18	$39.81	$104.71