Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $30.03 / $37.51	Professional		$25.87	$30.03	$37.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.27 / $10.19	Professional	26	$7.03	$8.27	$10.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.63 / $27.31	Professional	TC	$18.82	$21.63	$27.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.71 / $47.71 / $47.71	Facility	26	$47.71	$47.71	$47.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $40.17 / $137.40	Professional		$40.17	$40.17	$137.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $10.29 / $33.72	Professional	26	$10.29	$10.29	$33.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.88 / $27.88 / $27.88	Professional	TC	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $47.62 / $137.40	Professional		$37.13	$47.62	$137.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $11.58 / $33.72	Professional	26	$10.50	$11.58	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $29.21 / $51.55	Professional	TC	$25.66	$29.21	$51.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $42.41 / $137.40	Professional		$35.07	$42.41	$137.40
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $11.58 / $33.72	Professional	26	$10.83	$11.58	$33.72
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.24 / $26.93 / $51.55	Professional	TC	$24.24	$26.93	$51.55
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $40.74 / $146.16	Professional		$30.17	$40.74	$146.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.94 / $35.86	Professional	26	$8.23	$11.94	$35.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.76 / $110.29	Professional	TC	$21.94	$29.76	$110.29