Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $83.98 / $621.91	Professional		$82.26	$83.98	$621.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $63.22 / $191.66	Professional	26	$48.03	$63.22	$191.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.16 / $35.96 / $183.96	Professional	TC	$31.16	$35.96	$183.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $107.54 / $126.78	Professional		$107.54	$107.54	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $139.00 / $156.41	Professional		$111.33	$139.00	$156.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.48 / $89.91 / $256.49	Professional	26	$73.48	$89.91	$256.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.84 / $49.09 / $61.42	Professional	TC	$37.84	$49.09	$61.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $111.33 / $156.41	Professional		$85.57	$111.33	$156.41
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $57.90 / $74.70 / $95.00	Professional	26	$57.90	$74.70	$95.00
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $40.84 / $61.42	Professional	TC	$28.78	$40.84	$61.42
United Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $91.96 / $278.73	Professional		$55.18	$91.96	$278.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $65.19 / $181.89	Professional	26	$39.11	$65.19	$181.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $26.77 / $96.84	Professional	TC	$16.05	$26.77	$96.84