Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $82.21 / $86.17	Professional		$82.21	$82.21	$86.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.42 / $28.05 / $28.05	Professional	26	$27.42	$28.05	$28.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.16 / $54.16 / $58.75	Professional	TC	$54.16	$54.16	$58.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $159.13 / $159.13 / $159.13	Facility	26	$159.13	$159.13	$159.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $55.85 / $161.18	Professional		$55.85	$55.85	$161.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $34.54 / $100.39	Professional	26	$34.54	$34.54	$100.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.30 / $21.30 / $21.30	Professional	TC	$21.30	$21.30	$21.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $105.01 / $161.18	Professional		$54.03	$105.01	$161.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.63 / $36.88 / $100.39	Professional	26	$31.63	$36.88	$100.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $53.17 / $75.68	Professional	TC	$22.39	$53.17	$75.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $105.01 / $161.18	Professional		$54.03	$105.01	$161.18
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $31.63 / $36.88 / $100.39	Professional	26	$31.63	$36.88	$100.39
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $53.17 / $75.68	Professional	TC	$22.39	$53.17	$75.68
United Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $88.03 / $171.45	Professional		$61.98	$88.03	$171.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.06 / $106.79	Professional	26	$26.92	$36.06	$106.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.71 / $49.71 / $75.87	Professional	TC	$30.71	$49.71	$75.87