Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $107.15	Professional		$19.95	$39.81	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.22 / $48.98	Professional	26	$7.08	$16.22	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $48.98 / $52.48	Professional	50	$48.98	$48.98	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $28.84 / $79.43	Professional	TC	$15.14	$28.84	$79.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $123.03	Professional		$33.11	$33.11	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.55 / $32.36	Professional	26	$9.55	$9.55	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $27.54	Professional	TC	$23.44	$23.44	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $93.33	Professional		$33.88	$40.74	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $23.99	Professional	26	$9.77	$11.22	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.18 / $67.61	Professional	TC	$23.44	$28.18	$67.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $123.03	Professional		$28.84	$28.84	$123.03
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.13 / $32.36	Professional	26	$8.13	$8.13	$32.36
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	TC	$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $97.72	Professional		$28.18	$37.15	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $28.84	Professional	26	$7.94	$10.47	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $72.44	Professional	TC	$19.05	$26.30	$72.44