Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $117.49	Professional		$28.84	$43.65	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.13 / $38.02	Professional	26	$8.32	$14.13	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $31.62 / $75.86	Professional	TC	$20.89	$31.62	$75.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $181.97	Professional		$51.29	$60.26	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $51.29	Professional	26	$15.14	$15.14	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $42.66	Professional	TC	$36.31	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $141.25	Professional		$50.12	$60.26	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.38 / $36.31	Professional	26	$13.80	$17.38	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $42.66 / $107.15	Professional	TC	$36.31	$42.66	$107.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $181.97	Professional		$43.65	$43.65	$181.97
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $11.48 / $51.29	Professional	26	$11.48	$11.48	$51.29
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	TC	$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $144.54	Professional		$40.74	$53.70	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $41.69	Professional	26	$12.30	$15.49	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $104.71	Professional	TC	$27.54	$36.31	$104.71