Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $177.83	Professional		$28.84	$46.77	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $47.86	Professional	26	$12.02	$15.85	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.20 / $44.67	Professional	TC	$15.85	$30.20	$44.67
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $199.53	Professional		$58.88	$58.88	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $69.18	Professional	26	$20.89	$20.89	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $42.66	Professional	TC	$36.31	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $144.54	Professional		$50.12	$63.10	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.44 / $50.12	Professional	26	$19.95	$23.44	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.81 / $87.10	Professional	TC	$28.84	$39.81	$87.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $199.53	Professional		$40.74	$40.74	$199.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $69.18	Professional	26	$16.60	$16.60	$69.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	TC	$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $162.18	Professional		$46.77	$64.57	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $56.23	Professional	26	$16.98	$20.89	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $104.71	Professional	TC	$27.54	$38.90	$104.71