Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $120.11 / $128.18	Professional		$103.93	$120.11	$128.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.43 / $19.84	Professional	26	$16.60	$19.43	$19.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.32 / $100.28 / $108.74	Professional	TC	$87.32	$100.28	$108.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $112.41 / $112.41 / $112.41	Facility	26	$112.41	$112.41	$112.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $125.70 / $428.54	Professional		$125.70	$125.70	$428.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $24.53 / $73.31	Professional	26	$24.53	$24.53	$73.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.47 / $106.47 / $106.47	Professional	TC	$106.47	$106.47	$106.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $141.59 / $428.54	Professional		$96.96	$141.59	$428.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $26.05 / $73.31	Professional	26	$24.50	$26.05	$73.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.92 / $115.74 / $211.29	Professional	TC	$70.92	$115.74	$211.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $141.59 / $428.54	Professional		$96.96	$141.59	$428.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $24.87 / $26.05 / $73.31	Professional	26	$24.87	$26.05	$73.31
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $70.92 / $115.74 / $176.43	Professional	TC	$70.92	$115.74	$176.43
United Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $137.00 / $455.85	Professional		$102.39	$137.00	$455.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $26.19 / $77.98	Professional	26	$19.23	$26.19	$77.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.16 / $110.81 / $377.86	Professional	TC	$83.16	$110.81	$377.86