Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $295.12	Professional		$66.07	$141.25	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $64.57 / $112.20	Professional	26	$24.55	$64.57	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $64.57 / $245.47	Professional	TC	$41.69	$64.57	$245.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	26	$186.21	$186.21	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $131.83	Professional		$112.20	$131.83	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $50.12	Professional	26	$42.66	$50.12	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $81.28 / $81.28	Professional	TC	$69.18	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $346.74	Professional		$109.65	$138.04	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $44.67 / $131.83	Professional	26	$22.39	$44.67	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $79.43 / $190.55	Professional	TC	$70.79	$79.43	$190.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $346.74	Professional		$83.18	$87.10	$346.74
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.88 / $131.83	Professional	26	$30.90	$33.88	$131.83
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $52.48 / $61.66	Professional	TC	$52.48	$52.48	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $218.78	Professional		$85.11	$102.33	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.02 / $85.11	Professional	26	$32.36	$38.02	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $61.66 / $125.89	Professional	TC	$52.48	$61.66	$125.89