Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $100.47 / $530.00	Professional		$75.90	$100.47	$530.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $29.44 / $117.04	Professional	26	$24.64	$29.44	$117.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.93 / $69.16 / $140.53	Professional	TC	$54.93	$69.16	$140.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $144.72 / $455.78	Professional		$122.77	$144.72	$455.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $39.65 / $39.65	Professional	26	$33.65	$39.65	$39.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.55 / $110.28 / $110.28	Professional	TC	$93.55	$110.28	$110.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $156.10 / $455.78	Professional		$124.40	$156.10	$455.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $38.32 / $109.10	Professional	26	$32.08	$38.32	$109.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.28 / $111.68 / $200.63	Professional	TC	$87.28	$111.68	$200.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.99 / $150.29 / $455.78	Professional		$123.99	$150.29	$455.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $37.50 / $109.10	Professional	26	$30.89	$37.50	$109.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $87.28 / $94.83 / $196.70	Professional	TC	$87.28	$94.83	$196.70
United Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $137.10 / $248.92	Professional		$109.74	$137.10	$248.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $38.18 / $59.59	Professional	26	$27.76	$38.18	$59.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.55 / $101.48 / $189.33	Professional	TC	$79.55	$101.48	$189.33