Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $117.80 / $480.00	Professional		$108.65	$117.80	$480.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.48 / $29.52 / $119.00	Professional	26	$24.48	$29.52	$119.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.42 / $86.83 / $138.94	Professional	TC	$82.42	$86.83	$138.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.30 / $160.66 / $362.12	Professional		$136.30	$160.66	$362.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $45.06 / $89.49	Professional	26	$45.06	$45.06	$89.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.13 / $99.13 / $116.85	Professional	TC	$99.13	$99.13	$116.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $214.79 / $362.12	Professional		$136.99	$214.79	$362.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.53 / $51.92 / $89.49	Professional	26	$35.53	$51.92	$89.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.57 / $155.88 / $189.11	Professional	TC	$100.57	$155.88	$189.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $212.59 / $362.12	Professional		$162.75	$212.59	$362.12
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.53 / $51.71 / $89.49	Professional	26	$35.53	$51.71	$89.49
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $100.57 / $148.18 / $166.70	Professional	TC	$100.57	$148.18	$166.70
United Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $145.80 / $408.50	Professional		$101.29	$145.80	$408.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $39.04 / $105.69	Professional	26	$26.35	$39.04	$105.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $108.47 / $302.81	Professional	TC	$74.34	$108.47	$302.81