Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $47.04 / $232.00	Professional		$36.49	$47.04	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.88 / $24.87 / $130.00	Professional	26	$18.88	$24.87	$130.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $22.86 / $96.00	Professional	TC	$17.62	$22.86	$96.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $143.28 / $143.28 / $143.28	Facility	26	$143.28	$143.28	$143.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $70.28 / $190.45	Professional		$59.62	$70.28	$190.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $38.85 / $99.63	Professional	26	$32.96	$38.85	$99.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.19 / $28.19 / $33.24	Professional	TC	$28.19	$28.19	$33.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $75.37 / $190.45	Professional		$64.40	$75.37	$190.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $34.86 / $99.63	Professional	26	$29.44	$34.86	$99.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.88 / $36.59 / $65.70	Professional	TC	$29.88	$36.59	$65.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $66.98 / $190.45	Professional		$54.23	$66.98	$190.45
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $34.47 / $99.63	Professional	26	$28.41	$34.47	$99.63
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $31.37 / $49.12	Professional	TC	$24.01	$31.37	$49.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $79.25 / $158.22	Professional		$47.64	$79.25	$158.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $32.65 / $54.41	Professional	26	$24.71	$32.65	$54.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $30.84 / $96.61	Professional	TC	$22.02	$30.84	$96.61