Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $93.04 / $469.00	Professional		$69.58	$93.04	$469.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $39.83 / $196.00	Professional	26	$33.34	$39.83	$196.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.32 / $55.25 / $85.82	Professional	TC	$40.32	$55.25	$85.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $222.82 / $222.82 / $222.82	Facility	26	$222.82	$222.82	$222.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $140.10 / $358.57	Professional		$118.85	$140.10	$358.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $60.09 / $153.38	Professional	26	$50.97	$60.09	$153.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.58 / $66.58 / $78.48	Professional	TC	$66.58	$66.58	$78.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $127.73 / $358.57	Professional		$116.97	$127.73	$358.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.48 / $53.52 / $153.38	Professional	26	$45.48	$53.52	$153.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.30 / $74.47 / $153.02	Professional	TC	$68.30	$74.47	$153.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $125.30 / $358.57	Professional		$103.94	$125.30	$358.57
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $43.74 / $53.26 / $153.38	Professional	26	$43.74	$53.26	$153.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $51.39 / $70.83 / $109.94	Professional	TC	$51.39	$70.83	$109.94
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $123.61 / $195.83	Professional		$88.42	$123.61	$195.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $54.56 / $83.78	Professional	26	$38.27	$54.56	$83.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.32 / $59.18 / $112.05	Professional	TC	$49.32	$59.18	$112.05