Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $50.75 / $53.26	Professional		$43.64	$50.75	$53.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.82 / $16.25	Professional	26	$13.58	$15.82	$16.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $34.50 / $37.43	Professional	TC	$30.03	$34.50	$37.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.41 / $94.41 / $94.41	Facility	26	$94.41	$94.41	$94.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $74.16 / $212.58	Professional		$62.91	$74.16	$212.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $20.23 / $64.59	Professional	26	$20.23	$20.23	$64.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.49 / $40.49 / $47.73	Professional	TC	$40.49	$40.49	$47.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $72.93 / $212.58	Professional		$60.98	$72.93	$212.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $22.28 / $64.59	Professional	26	$20.76	$22.28	$64.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.26 / $47.36 / $75.70	Professional	TC	$39.26	$47.36	$75.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $72.92 / $212.58	Professional		$60.98	$72.92	$212.58
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $22.28 / $64.59	Professional	26	$21.42	$22.28	$64.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $43.02 / $73.45	Professional	TC	$38.75	$43.02	$73.45
United Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $69.63 / $226.13	Professional		$47.21	$69.63	$226.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $22.57 / $60.45	Professional	26	$16.23	$22.57	$60.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $46.13 / $157.41	Professional	TC	$31.20	$46.13	$157.41