Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $54.95 / $169.82	Professional		$23.44	$54.95	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $23.44 / $50.12	Professional	26	$10.00	$23.44	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $190.55 / $263.03	Professional	50	$45.71	$190.55	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $67.61 / $120.23	Professional	TC	$28.18	$67.61	$120.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $158.49 / $158.49 / $724.44	Facility	TC	$158.49	$158.49	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $199.53	Professional		$50.12	$50.12	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $46.77	Professional	26	$13.80	$13.80	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $43.65	Professional	TC	$36.31	$36.31	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $144.54	Professional		$50.12	$60.26	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.85 / $36.31	Professional	26	$13.18	$15.85	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $43.65 / $112.20	Professional	TC	$35.48	$43.65	$112.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $199.53	Professional		$43.65	$43.65	$199.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $46.77	Professional	26	$11.75	$11.75	$46.77
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	TC	$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $162.18	Professional		$44.67	$54.95	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $38.02	Professional	26	$11.22	$14.45	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $40.74 / $125.89	Professional	TC	$30.90	$40.74	$125.89