Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $87.10	Professional		$38.90	$53.70	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $97.72	Professional	26	$19.95	$30.20	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.99 / $61.66	Professional	TC	$15.14	$23.99	$61.66
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $162.18	Professional		$56.23	$56.23	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $100.00	Professional	26	$34.67	$34.67	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Professional	TC	$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $251.19	Professional		$53.70	$104.71	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $37.15 / $100.00	Professional	26	$31.62	$37.15	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $53.70 / $169.82	Professional	TC	$22.39	$53.70	$169.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $169.82	Professional		$57.54	$83.18	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $58.88	Professional	26	$26.92	$36.31	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $50.12 / $77.62	Professional	TC	$28.84	$50.12	$77.62