Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $416.87	Professional		$75.86	$120.23	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $194.98	Professional	26	$26.92	$41.69	$194.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.75 / $112.20 / $229.09	Professional	50	$11.75	$112.20	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $169.82	Professional	TC	$54.95	$79.43	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $154.88	Professional		$131.83	$154.88	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $52.48 / $52.48	Professional	26	$44.67	$52.48	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $104.71 / $104.71	Professional	TC	$89.13	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $436.52	Professional		$77.62	$147.91	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $50.12 / $144.54	Professional	26	$24.55	$50.12	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $97.72 / $208.93	Professional	TC	$52.48	$97.72	$208.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $436.52	Professional		$107.15	$109.65	$436.52
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $38.02 / $147.91	Professional	26	$35.48	$38.02	$147.91
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $72.44 / $83.18	Professional	TC	$70.79	$72.44	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $281.84	Professional		$109.65	$131.83	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $42.66 / $95.50	Professional	26	$37.15	$42.66	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $83.18 / $173.78	Professional	TC	$67.61	$83.18	$173.78