Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $407.38	Facility		$288.40	$302.00	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $112.20	Professional		$53.70	$70.79	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $26.92 / $32.36	Professional	26	$22.91	$26.92	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $63.10	Professional	TC	$30.20	$39.81	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $104.71	Professional		$89.13	$104.71	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $39.81 / $39.81	Professional	26	$33.88	$39.81	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $74.13 / $74.13	Professional	TC	$63.10	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $144.54	Professional		$58.88	$66.07	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $63.10	Professional	26	$20.42	$26.92	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $50.12	Professional	TC	$28.18	$38.02	$50.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $117.49	Professional		$58.88	$89.13	$117.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $51.29	Professional	26	$25.12	$38.90	$51.29
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $35.48 / $53.70	Professional	TC	$33.88	$35.48	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $138.04	Professional		$47.86	$75.86	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $58.88	Professional	26	$19.50	$30.90	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $40.74 / $79.43	Professional	TC	$27.54	$40.74	$79.43