Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $115.63 / $623.00	Professional		$88.10	$115.63	$623.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $30.45 / $129.96	Professional	26	$22.99	$30.45	$129.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.11 / $76.79 / $133.91	Professional	TC	$65.11	$76.79	$133.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $155.78 / $444.36	Professional		$132.16	$155.78	$444.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.90 / $42.32 / $119.13	Professional	26	$35.90	$42.32	$119.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.95 / $95.95 / $113.11	Professional	TC	$95.95	$95.95	$113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $154.41 / $444.36	Professional		$130.13	$154.41	$444.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $41.16 / $119.13	Professional	26	$35.01	$41.16	$119.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.12 / $108.81 / $198.18	Professional	TC	$95.12	$108.81	$198.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $148.81 / $444.36	Professional		$110.32	$148.81	$444.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $41.11 / $119.13	Professional	26	$31.06	$41.11	$119.13
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $79.26 / $107.83 / $178.05	Professional	TC	$79.26	$107.83	$178.05
United Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $153.72 / $242.68	Professional		$109.40	$153.72	$242.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $38.52 / $65.06	Professional	26	$30.32	$38.52	$65.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.02 / $111.82 / $177.62	Professional	TC	$79.02	$111.82	$177.62