Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $26.41 / $204.60	Professional		$23.22	$26.41	$204.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $19.85 / $154.58	Professional	26	$16.96	$19.85	$154.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $6.54 / $50.03	Professional	TC	$5.62	$6.54	$50.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $37.67 / $123.87	Professional		$31.96	$37.67	$123.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $42.11 / $123.87	Professional		$33.32	$42.11	$123.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $31.77 / $89.56	Professional	26	$25.78	$31.77	$89.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.54 / $10.86 / $11.14	Professional	TC	$7.54	$10.86	$11.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $33.32 / $44.31	Professional		$27.94	$33.32	$44.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $26.23 / $33.17	Professional	26	$20.38	$26.23	$33.17
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $7.52 / $8.41 / $11.14	Professional	TC	$7.52	$8.41	$11.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $30.28 / $87.84	Professional		$18.17	$30.28	$87.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $23.01 / $63.51	Professional	26	$13.81	$23.01	$63.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.36 / $7.27 / $24.33	Professional	TC	$4.36	$7.27	$24.33