Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $111.68 / $115.83	Professional		$111.68	$111.68	$115.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.77 / $48.94 / $48.94	Professional	26	$47.77	$48.94	$48.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.74 / $62.74 / $68.05	Professional	TC	$62.74	$62.74	$68.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $278.97 / $278.97 / $278.97	Facility	26	$278.97	$278.97	$278.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $132.46 / $397.36	Professional		$132.46	$132.46	$397.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $163.82 / $397.36	Professional		$126.01	$163.82	$397.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $67.64 / $210.76	Professional	26	$64.98	$67.64	$210.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.63 / $62.44 / $138.25	Professional	TC	$59.63	$62.44	$138.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $163.82 / $397.36	Professional		$126.01	$163.82	$397.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $67.64 / $210.76	Professional	26	$64.98	$67.64	$210.76
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $59.63 / $62.44 / $138.25	Professional	TC	$59.63	$62.44	$138.25
United Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $205.75 / $422.69	Professional		$119.54	$205.75	$422.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.42 / $66.55 / $224.19	Professional	26	$47.42	$66.55	$224.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.38 / $96.62 / $198.50	Professional	TC	$57.38	$96.62	$198.50