Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $86.38 / $88.55	Professional		$75.43	$86.38	$88.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $35.36 / $36.89	Professional	26	$31.21	$35.36	$36.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $50.80 / $52.77	Professional	TC	$44.21	$50.80	$52.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $118.13 / $355.77	Professional		$100.21	$118.13	$355.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $49.67 / $139.18	Professional	26	$42.14	$49.67	$139.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.06 / $58.06 / $68.44	Professional	TC	$58.06	$58.06	$68.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $118.67 / $355.77	Professional		$108.43	$118.67	$355.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $48.14 / $139.18	Professional	26	$46.19	$48.14	$139.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.24 / $67.56 / $120.66	Professional	TC	$62.24	$67.56	$120.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $118.67 / $355.77	Professional		$108.43	$118.67	$355.77
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $47.83 / $139.18	Professional	26	$46.19	$47.83	$139.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $62.24 / $65.68 / $107.85	Professional	TC	$62.24	$65.68	$107.85
United Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $126.37 / $313.99	Professional		$83.79	$126.37	$313.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.69 / $52.54 / $148.05	Professional	26	$35.69	$52.54	$148.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $68.45 / $181.43	Professional	TC	$48.00	$68.45	$181.43