Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $346.74	Professional		$44.67	$107.15	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $97.72	Professional	26	$25.12	$34.67	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $79.43 / $194.98	Professional	TC	$22.91	$79.43	$194.98
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $436.52	Professional		$123.03	$123.03	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $117.49	Professional	26	$31.62	$31.62	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $91.20 / $109.65	Professional	TC	$91.20	$91.20	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $363.08	Professional		$114.82	$141.25	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $39.81 / $85.11	Professional	26	$35.48	$39.81	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $100.00 / $275.42	Professional	TC	$77.62	$100.00	$275.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $436.52	Professional		$107.15	$107.15	$436.52
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $117.49	Professional	26	$28.18	$28.18	$117.49
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	TC	$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $275.42	Professional		$100.00	$131.83	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $40.74 / $93.33	Professional	26	$28.18	$40.74	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $263.03	Professional	TC	$72.44	$93.33	$263.03