Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $24.67 / $25.94	Professional		$21.21	$24.67	$25.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.50 / $7.68	Professional	26	$6.42	$7.50	$7.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $16.98 / $18.44	Professional	TC	$14.78	$16.98	$18.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.49 / $43.49 / $43.49	Facility	26	$43.49	$43.49	$43.49
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $87.56 / $347.43 / $381.83	Facility	TC	$87.56	$347.43	$381.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $28.94 / $91.67	Professional		$28.94	$28.94	$91.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $10.18 / $30.84	Professional	26	$10.18	$10.18	$30.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.46 / $18.46 / $18.46	Professional	TC	$18.46	$18.46	$18.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $31.79 / $91.67	Professional		$31.17	$31.79	$91.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $10.88 / $30.84	Professional	26	$9.57	$10.88	$30.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $21.14 / $37.60	Professional	TC	$20.51	$21.14	$37.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.58 / $91.67	Professional		$30.00	$31.58	$91.67
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $10.88 / $30.84	Professional	26	$9.86	$10.88	$30.84
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.96 / $20.84 / $30.47	Professional	TC	$19.96	$20.84	$30.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $34.22 / $80.55	Professional		$22.70	$34.22	$80.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $10.93 / $32.81	Professional	26	$7.55	$10.93	$32.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.94 / $23.69 / $64.70	Professional	TC	$13.94	$23.69	$64.70