Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $199.53	Professional		$58.88	$107.15	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $107.15	Professional	26	$22.91	$36.31	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	50	$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $66.07 / $102.33	Professional	TC	$20.89	$66.07	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $229.09	Professional		$107.15	$125.89	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $46.77 / $77.62	Professional	26	$31.62	$46.77	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $63.10	Professional	TC	$26.92	$26.92	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $363.08	Professional		$72.44	$162.18	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $51.29 / $128.82	Professional	26	$20.89	$51.29	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $112.20 / $229.09	Professional	TC	$15.49	$112.20	$229.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $229.09	Professional		$54.95	$79.43	$229.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $33.11 / $181.97	Professional	26	$31.62	$33.11	$181.97
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $46.77 / $89.13	Professional	TC	$11.22	$46.77	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $223.87	Professional		$75.86	$114.82	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.02 / $97.72	Professional	26	$30.20	$38.02	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $53.70 / $134.90	Professional	TC	$38.02	$53.70	$134.90