Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $194.98	Professional		$38.90	$70.79	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.50 / $42.66	Professional	26	$12.88	$19.50	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $47.86 / $134.90	Professional	TC	$27.54	$47.86	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $229.09	Professional		$58.88	$69.18	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.38 / $58.88	Professional	26	$18.20	$21.38	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $48.98	Professional	TC	$40.74	$40.74	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $165.96	Professional		$63.10	$77.62	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.89 / $44.67	Professional	26	$17.38	$20.89	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $52.48 / $123.03	Professional	TC	$43.65	$52.48	$123.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $229.09	Professional		$48.98	$48.98	$229.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $58.88	Professional	26	$15.14	$15.14	$58.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	TC	$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $186.21	Professional		$52.48	$72.44	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $47.86	Professional	26	$15.14	$20.89	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $48.98 / $138.04	Professional	TC	$35.48	$48.98	$138.04