Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $29.35 / $78.58	Professional		$26.23	$29.35	$78.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $16.19 / $30.26	Professional	26	$13.75	$16.19	$30.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $13.16 / $56.30	Professional	TC	$12.47	$13.16	$56.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $58.73 / $169.93	Professional		$45.79	$58.73	$169.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $59.53 / $169.93	Professional		$31.54	$59.53	$169.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $27.22 / $52.80	Professional	26	$17.60	$27.22	$52.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.94 / $29.51 / $66.70	Professional	TC	$13.94	$29.51	$66.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $52.21 / $98.55	Professional		$30.10	$52.21	$98.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $26.64 / $52.80	Professional	26	$17.60	$26.64	$52.80
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $13.94 / $22.23 / $56.42	Professional	TC	$13.94	$22.23	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $41.98 / $167.19	Professional		$38.31	$41.98	$167.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $22.08 / $64.18	Professional	26	$16.32	$22.08	$64.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $31.58 / $103.01	Professional	TC	$16.98	$31.58	$103.01