Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $199.53	Professional		$43.65	$64.57	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.95 / $56.23	Professional	26	$12.88	$19.95	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $128.82	Professional	TC	$32.36	$47.86	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $263.03	Professional		$67.61	$79.43	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $63.10	Professional	26	$19.05	$19.05	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $48.98 / $57.54	Professional	TC	$48.98	$48.98	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $190.55	Professional		$74.13	$89.13	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $47.86	Professional	26	$18.20	$22.39	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $63.10 / $144.54	Professional	TC	$52.48	$63.10	$144.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $263.03	Professional		$56.23	$56.23	$263.03
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $63.10	Professional	26	$16.22	$16.22	$63.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	TC	$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $213.80	Professional		$60.26	$83.18	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.39 / $51.29	Professional	26	$16.22	$22.39	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $57.54 / $162.18	Professional	TC	$41.69	$57.54	$162.18