Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $100.59 / $411.00	Professional		$79.00	$100.59	$411.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $42.25 / $135.00	Professional	26	$27.64	$42.25	$135.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $62.21 / $294.08	Professional	TC	$42.07	$62.21	$294.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $185.66 / $185.66 / $185.66	Facility	26	$185.66	$185.66	$185.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.05 / $130.90 / $347.19	Professional		$111.05	$130.90	$347.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $49.72 / $130.59	Professional	26	$42.17	$49.72	$130.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.42 / $68.42 / $80.64	Professional	TC	$68.42	$68.42	$80.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $124.11 / $347.19	Professional		$113.65	$124.11	$347.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.94 / $45.04 / $130.59	Professional	26	$37.94	$45.04	$130.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.40 / $73.29 / $156.24	Professional	TC	$71.40	$73.29	$156.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $117.90 / $347.19	Professional		$98.20	$117.90	$347.19
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $45.04 / $130.59	Professional	26	$36.60	$45.04	$130.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $58.96 / $72.80 / $117.23	Professional	TC	$58.96	$72.80	$117.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $119.67 / $189.61	Professional		$85.53	$119.67	$189.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.42 / $42.24 / $71.31	Professional	26	$32.42	$42.24	$71.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.50 / $73.62 / $118.29	Professional	TC	$52.50	$73.62	$118.29