Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $14.30 / $67.88	Professional		$11.54	$14.30	$67.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $8.26 / $12.04	Professional	26	$7.39	$8.26	$12.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.64 / $4.40 / $6.13	Professional	TC	$3.64	$4.40	$6.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Facility		$76.20	$76.20	$76.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.05 / $54.05 / $54.05	Facility	26	$54.05	$54.05	$54.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $20.83 / $47.34	Professional		$15.30	$20.83	$47.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $13.31 / $32.28	Professional	26	$9.48	$13.31	$32.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.45 / $6.22 / $11.18	Professional	TC	$4.45	$6.22	$11.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $20.59 / $47.34	Professional		$13.47	$20.59	$47.34
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $13.31 / $32.28	Professional	26	$9.19	$13.31	$32.28
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $3.86 / $5.27 / $8.58	Professional	TC	$3.86	$5.27	$8.58
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.47 / $25.85	Professional		$12.26	$15.47	$25.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $11.44 / $17.63	Professional	26	$8.30	$11.44	$17.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $4.62 / $8.22	Professional	TC	$3.43	$4.62	$8.22