Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $61.94 / $67.59	Professional		$41.15	$61.94	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.40 / $16.25	Professional	26	$13.58	$15.40	$16.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $46.54 / $51.77	Professional	TC	$25.88	$46.54	$51.77
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 $69.41 / $81.81 / $175.43	Professional		$69.41	$81.81	$175.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $24.15 / $63.16	Professional	26	$20.49	$24.15	$63.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $48.89 / $57.64	Professional	TC	$48.89	$48.89	$57.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $90.74 / $175.43	Professional		$51.67	$90.74	$175.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.99 / $22.28 / $63.16	Professional	26	$20.99	$22.28	$63.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $38.49 / $93.31	Professional	TC	$29.39	$38.49	$93.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $90.74 / $175.43	Professional		$51.67	$90.74	$175.43
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $22.28 / $63.16	Professional	26	$21.65	$22.28	$63.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $38.49 / $83.54	Professional	TC	$29.39	$38.49	$83.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $89.65 / $186.62	Professional		$41.52	$89.65	$186.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $22.57 / $67.19	Professional	26	$16.44	$22.57	$67.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $60.03 / $119.43	Professional	TC	$25.08	$60.03	$119.43