Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.55 / $6.66 / $37.96	Professional	26	$5.55	$6.66	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $22.57 / $132.18	Professional	TC	$19.55	$22.57	$132.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.78 / $41.35 / $53.96	Professional	26	$28.78	$41.35	$53.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.77 / $131.03 / $169.93	Professional	TC	$92.77	$131.03	$169.93
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $36.29 / $53.96	Professional	26	$31.27	$36.29	$53.96
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $99.09 / $116.66 / $169.93	Professional	TC	$99.09	$116.66	$169.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.64 / $66.64 / $93.80	Professional	TC	$66.64	$66.64	$93.80