Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $39.28 / $161.00	Professional		$28.58	$39.28	$161.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.07 / $47.07 / $47.07	Professional	25	$47.07	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $9.67 / $36.26	Professional	26	$8.01	$9.67	$36.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $29.62 / $45.10	Professional	TC	$28.18	$29.62	$45.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $57.60 / $98.04	Professional		$48.86	$57.60	$98.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $20.67 / $29.22	Professional	26	$19.18	$20.67	$29.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.06 / $40.06 / $47.22	Professional	TC	$40.06	$40.06	$47.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $43.80 / $110.26	Professional		$33.57	$43.80	$110.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $11.35 / $29.22	Professional	26	$9.24	$11.35	$29.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $30.76 / $78.95	Professional	TC	$23.29	$30.76	$78.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $49.88 / $98.04	Professional		$37.90	$49.88	$98.04
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $11.86 / $29.22	Professional	26	$9.24	$11.86	$29.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $34.83 / $69.31	Professional	TC	$27.62	$34.83	$69.31
United Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $50.43 / $95.00	Professional		$44.25	$50.43	$95.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.89 / $34.72	Professional	26	$8.23	$11.89	$34.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $35.36 / $69.12	Professional	TC	$24.74	$35.36	$69.12