Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $30.75 / $32.65	Professional		$26.55	$30.75	$32.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.45 / $6.61	Professional	26	$5.53	$6.45	$6.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $24.14 / $26.19	Professional	TC	$21.01	$24.14	$26.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $117.08 / $493.61 / $543.49	Facility	TC	$117.08	$493.61	$543.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $39.63 / $124.54	Professional		$33.61	$39.63	$124.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $26.57 / $26.57	Professional	26	$8.55	$26.57	$26.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $26.18 / $30.87	Professional	TC	$26.18	$26.18	$30.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $42.22 / $124.54	Professional		$36.59	$42.22	$124.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.11 / $26.57	Professional	26	$8.17	$9.11	$26.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.68 / $32.04 / $51.21	Professional	TC	$27.68	$32.04	$51.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $42.10 / $124.54	Professional		$34.36	$42.10	$124.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $9.11 / $26.57	Professional	26	$8.43	$9.11	$26.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $29.89 / $48.31	Professional	TC	$26.14	$29.89	$48.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $39.65 / $132.47	Professional		$27.08	$39.65	$132.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $9.41 / $28.26	Professional	26	$6.52	$9.41	$28.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $30.00 / $104.22	Professional	TC	$20.56	$30.00	$104.22