Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $49.16 / $186.00	Professional		$41.56	$49.16	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $30.28 / $103.00	Professional	26	$24.90	$30.28	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $18.88 / $63.87	Professional	TC	$16.67	$18.88	$63.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $61.63 / $223.94	Professional		$61.63	$61.63	$223.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $87.17 / $223.94	Professional		$53.58	$87.17	$223.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.64 / $51.53 / $91.95	Professional	26	$33.64	$51.53	$91.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $35.03 / $75.65	Professional	TC	$19.52	$35.03	$75.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $83.45 / $130.36	Professional		$49.25	$83.45	$130.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.01 / $47.98 / $91.95	Professional	26	$33.01	$47.98	$91.95
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $32.08 / $62.09	Professional	TC	$19.52	$32.08	$62.09
United Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $71.93 / $222.54	Professional		$55.46	$71.93	$222.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $42.11 / $109.20	Professional	26	$25.93	$42.11	$109.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.69 / $35.83 / $113.34	Professional	TC	$25.69	$35.83	$113.34