Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $105.27 / $111.21	Professional		$90.73	$105.27	$111.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $28.43 / $28.95	Professional	26	$24.26	$28.43	$28.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $76.33 / $82.78	Professional	TC	$66.45	$76.33	$82.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $162.26 / $162.26 / $162.26	Facility	26	$162.26	$162.26	$162.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $167.48 / $558.66	Professional		$140.13	$167.48	$558.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $42.09 / $116.25	Professional	26	$35.71	$42.09	$116.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.13 / $108.13 / $133.44	Professional	TC	$108.13	$108.13	$133.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $182.33 / $558.66	Professional		$130.05	$182.33	$558.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $39.93 / $116.25	Professional	26	$35.22	$39.93	$116.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.59 / $115.84 / $212.92	Professional	TC	$91.59	$115.84	$212.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $155.41 / $558.66	Professional		$130.00	$155.41	$558.66
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $36.33 / $39.93 / $116.25	Professional	26	$36.33	$39.93	$116.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $86.51 / $102.89 / $212.92	Professional	TC	$86.51	$102.89	$212.92
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $170.64 / $469.31	Professional		$125.23	$170.64	$469.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $41.48 / $123.66	Professional	26	$28.81	$41.48	$123.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.16 / $122.92 / $470.61	Professional	TC	$90.16	$122.92	$470.61