Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $398.11	Professional		$33.11	$79.43	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.02 / $37.15	Professional	26	$8.71	$12.02	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $70.79 / $354.81	Professional	TC	$25.12	$70.79	$354.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $162.18	Professional		$57.54	$66.07	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $14.79 / $39.81	Professional	26	$14.79	$14.79	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $50.12	Professional	TC	$43.65	$43.65	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $208.93	Professional		$54.95	$95.50	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.13 / $30.20	Professional	26	$12.88	$14.13	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $77.62 / $204.17	Professional	TC	$41.69	$77.62	$204.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $162.18	Professional		$48.98	$48.98	$162.18
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.23 / $39.81	Professional	26	$10.23	$10.23	$39.81
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $190.55	Professional		$38.02	$89.13	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.45 / $41.69	Professional	26	$7.76	$14.45	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $63.10 / $151.36	Professional	TC	$22.91	$63.10	$151.36