Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $190.55	Professional		$67.61	$79.43	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $128.82	Professional	26	$38.90	$48.98	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $61.66	Professional	TC	$20.89	$30.20	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $269.15	Professional		$81.28	$81.28	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $162.18	Professional		$81.28	$117.49	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $85.11	Professional	26	$51.29	$75.86	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $79.43	Professional	TC	$23.99	$39.81	$79.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $269.15	Professional		$91.20	$95.50	$269.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $131.83	Professional	26	$46.77	$58.88	$131.83
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $61.66	Professional	TC	$26.92	$47.86	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $169.82	Professional		$69.18	$95.50	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $63.10 / $85.11	Professional	26	$36.31	$63.10	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $37.15 / $85.11	Professional	TC	$27.54	$37.15	$85.11