Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $42.70 / $170.00	Professional		$38.79	$42.70	$170.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $15.49 / $24.64	Professional	26	$13.69	$15.49	$24.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $26.51 / $43.20	Professional	TC	$25.10	$26.51	$43.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $60.42 / $140.19	Professional		$51.25	$60.42	$140.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $32.17 / $51.59	Professional	26	$27.29	$32.17	$51.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.94 / $27.94 / $32.93	Professional	TC	$27.94	$27.94	$32.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $53.80 / $159.27	Professional		$43.00	$53.80	$159.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $20.04 / $51.59	Professional	26	$15.96	$20.04	$51.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.11 / $31.48 / $103.46	Professional	TC	$27.11	$31.48	$103.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $55.02 / $140.19	Professional		$43.00	$55.02	$140.19
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $20.90 / $51.59	Professional	26	$15.96	$20.90	$51.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.11 / $34.11 / $62.26	Professional	TC	$27.11	$34.11	$62.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $53.52 / $88.35	Professional		$37.72	$53.52	$88.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $21.34 / $61.21	Professional	26	$14.41	$21.34	$61.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $33.22 / $100.04	Professional	TC	$23.31	$33.22	$100.04