Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $36.11 / $210.00	Professional		$24.85	$36.11	$210.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.35 / $65.70	Professional	26	$13.00	$14.35	$65.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $20.28 / $43.20	Professional	TC	$15.33	$20.28	$43.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.34 / $247.72 / $347.24	Facility		$127.34	$247.72	$347.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $89.10 / $89.10 / $89.10	Facility	26	$89.10	$89.10	$89.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $44.47 / $166.17	Professional		$44.47	$44.47	$166.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $19.47 / $57.58	Professional	26	$19.47	$19.47	$57.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $25.15 / $32.04	Professional	TC	$25.15	$25.15	$32.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $244.35 / $244.35	Facility		$244.35	$244.35	$244.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $52.25 / $166.17	Professional		$42.97	$52.25	$166.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $19.82 / $57.58	Professional	26	$16.73	$19.82	$57.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.64 / $32.17 / $50.27	Professional	TC	$23.64	$32.17	$50.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $244.35 / $244.35	Facility		$244.35	$244.35	$244.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $51.87 / $166.17	Professional		$42.11	$51.87	$166.17
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $19.82 / $57.58	Professional	26	$16.17	$19.82	$57.58
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $26.67 / $50.27	Professional	TC	$22.37	$26.67	$50.27
United Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $47.72 / $139.05	Professional		$34.71	$47.72	$139.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $20.27 / $61.25	Professional	26	$14.52	$20.27	$61.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $27.07 / $84.60	Professional	TC	$20.46	$27.07	$84.60