Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $62.59	Professional		$62.00	$62.00	$62.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.59 / $43.58 / $43.58	Professional	26	$42.59	$43.58	$43.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $18.42 / $19.98	Professional	TC	$18.42	$18.42	$19.98
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $247.14 / $247.14 / $247.14	Facility	26	$247.14	$247.14	$247.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $135.09 / $585.91	Professional		$135.09	$135.09	$585.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $181.56 / $585.91	Professional		$92.62	$181.56	$585.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.79 / $57.70 / $166.38	Professional	26	$52.79	$57.70	$166.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.63 / $97.57 / $184.54	Professional	TC	$29.63	$97.57	$184.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $158.19 / $585.91	Professional		$92.62	$158.19	$585.91
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $52.79 / $57.70 / $166.38	Professional	26	$52.79	$57.70	$166.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $13.14 / $82.67 / $184.54	Professional	TC	$13.14	$82.67	$184.54
United Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $172.51 / $319.99	Professional		$67.59	$172.51	$319.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.12 / $56.60 / $140.00	Professional	26	$42.12	$56.60	$140.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.48 / $106.54 / $446.26	Professional	TC	$25.48	$106.54	$446.26