Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $111.43 / $144.84	Professional		$58.92	$111.43	$144.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.85 / $27.62 / $30.05	Professional	26	$16.85	$27.62	$30.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $83.81 / $114.80	Professional	TC	$42.07	$83.81	$114.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $114.58 / $135.07	Professional		$114.58	$114.58	$135.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $107.19 / $117.28	Professional		$106.46	$107.19	$117.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $31.77 / $85.28	Professional	26	$24.15	$31.77	$85.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $82.70 / $83.04	Professional	TC	$74.70	$82.70	$83.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $106.46 / $117.28	Professional		$78.09	$106.46	$117.28
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $27.51 / $34.24	Professional	26	$18.76	$27.51	$34.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $55.17 / $74.70 / $83.04	Professional	TC	$55.17	$74.70	$83.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $98.88 / $143.38	Professional		$54.62	$98.88	$143.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $23.00 / $60.48	Professional	26	$13.80	$23.00	$60.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.53 / $75.88 / $212.40	Professional	TC	$45.53	$75.88	$212.40