Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $186.21	Professional		$69.18	$123.03	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $51.29 / $190.55	Professional	26	$12.88	$51.29	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $147.91	Professional	TC	$51.29	$70.79	$147.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $407.38	Professional		$109.65	$109.65	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $190.55	Professional	26	$51.29	$51.29	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $58.88 / $67.61	Professional	TC	$58.88	$58.88	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $426.58	Professional		$120.23	$269.15	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.88 / $125.89	Professional	26	$22.91	$33.88	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $147.91 / $380.19	Professional	TC	$64.57	$147.91	$380.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $407.38	Professional		$100.00	$100.00	$407.38
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $17.38 / $190.55	Professional	26	$17.38	$17.38	$190.55
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	TC	$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $562.34	Professional		$109.65	$208.93	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $50.12 / $154.88	Professional	26	$23.44	$50.12	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $114.82 / $537.03	Professional	TC	$60.26	$114.82	$537.03