Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $288.40	Professional		$36.31	$75.86	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $39.81 / $85.11	Professional	26	$19.05	$39.81	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $53.70	Professional	TC	$16.98	$23.99	$53.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $38.90	Professional	26	$33.11	$33.11	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $33.11	Professional	TC	$28.18	$28.18	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $190.55	Professional		$60.26	$87.10	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $34.67 / $100.00	Professional	26	$16.98	$34.67	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $83.18	Professional	TC	$28.84	$38.90	$83.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $190.55	Professional		$46.77	$47.86	$190.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $26.30 / $100.00	Professional	26	$23.99	$26.30	$100.00
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $25.70	Professional	TC	$21.88	$21.88	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $154.88	Professional		$47.86	$57.54	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $29.51 / $66.07	Professional	26	$24.55	$29.51	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $27.54 / $74.13	Professional	TC	$20.89	$27.54	$74.13