Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $80.83 / $124.05	Professional		$66.51	$80.83	$124.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $28.95 / $33.82	Professional	26	$24.03	$28.95	$33.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $52.94 / $84.34	Professional	TC	$42.50	$52.94	$84.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $162.35 / $162.35 / $162.35	Facility	26	$162.35	$162.35	$162.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $144.94 / $438.65	Professional		$122.96	$144.94	$438.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.33 / $36.93 / $116.29	Professional	26	$31.33	$36.93	$116.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.06 / $92.06 / $108.51	Professional	TC	$92.06	$92.06	$108.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $153.21 / $438.65	Professional		$124.11	$153.21	$438.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $40.81 / $116.29	Professional	26	$35.67	$40.81	$116.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.15 / $99.56 / $172.37	Professional	TC	$85.15	$99.56	$172.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $142.96 / $438.65	Professional		$118.13	$142.96	$438.65
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $37.38 / $40.81 / $116.29	Professional	26	$37.38	$40.81	$116.29
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $81.05 / $99.56 / $172.37	Professional	TC	$81.05	$99.56	$172.37
United Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $144.94 / $466.61	Professional		$101.14	$144.94	$466.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $42.27 / $123.71	Professional	26	$28.32	$42.27	$123.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.03 / $99.51 / $342.90	Professional	TC	$73.03	$99.51	$342.90