Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $96.25 / $430.63	Professional		$54.15	$96.25	$430.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $24.58 / $49.50	Professional	26	$9.17	$24.58	$49.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $59.13 / $122.00	Professional	TC	$44.98	$59.13	$122.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $102.48 / $347.53	Professional		$86.94	$102.48	$347.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $98.97 / $347.53	Professional		$87.90	$98.97	$347.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $17.03 / $49.50	Professional	26	$14.21	$17.03	$49.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.69 / $80.88 / $87.91	Professional	TC	$73.69	$80.88	$87.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $87.90 / $112.90	Professional		$65.91	$87.90	$112.90
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $14.49 / $18.09	Professional	26	$11.32	$14.49	$18.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $53.73 / $73.69 / $87.91	Professional	TC	$53.73	$73.69	$87.91
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $77.47 / $141.32	Professional		$48.34	$77.47	$141.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $12.51 / $35.10	Professional	26	$7.51	$12.51	$35.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $64.95 / $211.35	Professional	TC	$38.97	$64.95	$211.35