Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $65.56 / $66.29	Professional		$65.56	$65.56	$66.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.36 / $45.37 / $45.37	Professional	26	$44.36	$45.37	$45.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $20.20 / $21.93	Professional	TC	$20.20	$20.20	$21.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $255.68 / $255.68 / $255.68	Facility	26	$255.68	$255.68	$255.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $272.99	Professional		$78.42	$78.42	$272.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $88.22 / $272.99	Professional		$84.98	$88.22	$272.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.71 / $61.74 / $192.14	Professional	26	$59.71	$61.74	$192.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $26.46 / $42.63	Professional	TC	$25.50	$26.46	$42.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $88.22 / $272.99	Professional		$84.98	$88.22	$272.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $59.71 / $61.74 / $192.14	Professional	26	$59.71	$61.74	$192.14
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $26.46 / $42.63	Professional	TC	$25.27	$26.46	$42.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $85.96 / $290.39	Professional		$62.02	$85.96	$290.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.58 / $60.41 / $104.94	Professional	26	$43.58	$60.41	$104.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $26.78 / $86.00	Professional	TC	$18.44	$26.78	$86.00