Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $100.18 / $107.69	Professional		$79.70	$100.18	$107.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $10.92 / $13.63	Professional	26	$9.40	$10.92	$13.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.06 / $88.93 / $96.77	Professional	TC	$66.06	$88.93	$96.77
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $62.59 / $62.59 / $62.59	Facility	26	$62.59	$62.59	$62.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $66.43 / $161.72	Professional		$58.05	$66.43	$161.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.65 / $16.76 / $39.47	Professional	26	$14.65	$16.76	$39.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.40 / $43.40 / $49.67	Professional	TC	$43.40	$43.40	$49.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $89.19 / $204.00	Professional		$57.44	$89.19	$204.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $14.01 / $39.47	Professional	26	$13.24	$14.01	$39.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.69 / $58.86 / $129.88	Professional	TC	$42.69	$58.86	$129.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $89.19 / $204.00	Professional		$57.44	$89.19	$204.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $14.01 / $39.47	Professional	26	$13.25	$14.01	$39.47
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $41.77 / $44.19 / $110.95	Professional	TC	$41.77	$44.19	$110.95
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $103.79 / $189.61	Professional		$40.06	$103.79	$189.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $15.18 / $41.99	Professional	26	$9.61	$15.18	$41.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.41 / $66.77 / $150.56	Professional	TC	$29.41	$66.77	$150.56