Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $87.54 / $111.71	Professional		$83.73	$87.54	$111.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $39.78 / $46.54	Professional	26	$34.07	$39.78	$46.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.04 / $51.63 / $65.17	Professional	TC	$41.04	$51.63	$65.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $230.20 / $230.20 / $230.20	Facility	26	$230.20	$230.20	$230.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $97.79 / $321.51	Professional		$97.79	$97.79	$321.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.11 / $48.11 / $157.79	Professional	26	$48.11	$48.11	$157.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.00 / $44.00 / $51.86	Professional	TC	$44.00	$44.00	$51.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $149.38 / $321.51	Professional		$96.54	$149.38	$321.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $54.71 / $157.79	Professional	26	$52.24	$54.71	$157.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.18 / $61.29 / $128.32	Professional	TC	$43.18	$61.29	$128.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $149.38 / $321.51	Professional		$96.54	$149.38	$321.51
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $53.34 / $54.71 / $157.79	Professional	26	$53.34	$54.71	$157.79
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $43.18 / $61.29 / $92.82	Professional	TC	$43.18	$61.29	$92.82
United Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $166.48 / $311.89	Professional		$80.59	$166.48	$311.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $61.83 / $167.85	Professional	26	$38.97	$61.83	$167.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $89.41 / $174.15	Professional	TC	$32.47	$89.41	$174.15