Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $425.00 / $688.75	Professional		$375.00	$425.00	$688.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $203.00	Professional	26	$112.50	$127.50	$203.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $73.19 / $73.19 / $73.19	Facility	26	$73.19	$73.19	$73.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $102.75 / $202.42	Professional		$87.17	$102.75	$202.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.85 / $16.32 / $49.50	Professional	26	$13.85	$16.32	$49.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $119.51 / $202.42	Professional		$68.39	$119.51	$202.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $17.48 / $49.50	Professional	26	$15.98	$17.48	$49.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $119.51 / $202.42	Professional		$68.39	$119.51	$202.42
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.01 / $17.48 / $49.50	Professional	26	$16.01	$17.48	$49.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $104.82 / $201.04	Professional		$58.75	$104.82	$201.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $18.57 / $52.65	Professional	26	$12.01	$18.57	$52.65