Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $380.19	Professional		$74.13	$107.15	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.90 / $97.72	Professional	26	$19.95	$30.90	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $75.86 / $269.15	Professional	TC	$52.48	$75.86	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $144.54	Professional		$123.03	$123.03	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $109.65	Professional	26	$33.88	$33.88	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $93.33 / $109.65	Professional	TC	$93.33	$93.33	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $380.19	Professional		$128.82	$154.88	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $38.02 / $109.65	Professional	26	$19.05	$38.02	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $114.82 / $234.42	Professional	TC	$91.20	$114.82	$234.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $457.09	Professional		$95.50	$117.49	$457.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $28.84 / $109.65	Professional	26	$26.30	$28.84	$109.65
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $97.72	Professional	TC	$67.61	$87.10	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $302.00	Professional		$109.65	$128.82	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $31.62 / $69.18	Professional	26	$26.92	$31.62	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $93.33 / $229.09	Professional	TC	$79.43	$93.33	$229.09