Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $75.00 / $430.87	Professional		$66.20	$75.00	$430.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $25.12 / $91.84	Professional	26	$17.47	$25.12	$91.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.02 / $49.89 / $274.05	Professional	TC	$43.02	$49.89	$274.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $86.91 / $102.45	Professional		$86.91	$86.91	$102.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $100.06 / $118.37	Professional		$87.42	$100.06	$118.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $33.82 / $92.43	Professional	26	$27.07	$33.82	$92.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.87 / $67.80 / $84.12	Professional	TC	$53.87	$67.80	$84.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $87.42 / $118.37	Professional		$65.05	$87.42	$118.37
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $30.71 / $34.25	Professional	26	$21.03	$30.71	$34.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $44.44 / $55.88 / $84.12	Professional	TC	$44.44	$55.88	$84.12
United Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $91.68 / $198.87	Professional		$37.94	$91.68	$198.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $23.37 / $65.55	Professional	26	$14.02	$23.37	$65.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $39.86 / $133.32	Professional	TC	$23.92	$39.86	$133.32