Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $91.20	Professional		$50.12	$70.79	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $28.18	Professional	26	$16.98	$20.89	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $63.10	Professional	TC	$33.11	$46.77	$63.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $275.42	Professional		$83.18	$83.18	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $223.87	Professional		$85.11	$95.50	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.36 / $67.61	Professional	26	$28.18	$32.36	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $66.07 / $154.88	Professional	TC	$56.23	$66.07	$154.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $275.42	Professional		$72.44	$72.44	$275.42
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $22.91 / $87.10	Professional	26	$22.91	$22.91	$87.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	TC	$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $223.87	Professional		$66.07	$89.13	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $70.79	Professional	26	$22.91	$29.51	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $56.23 / $154.88	Professional	TC	$41.69	$56.23	$154.88