Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $47.22 / $197.00	Professional		$41.15	$47.22	$197.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.94 / $55.00	Professional	26	$11.24	$12.94	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $33.28 / $57.68	Professional	TC	$29.92	$33.28	$57.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $62.13 / $160.00	Professional		$52.70	$62.13	$160.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $17.87 / $42.90	Professional	26	$15.16	$17.87	$42.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $37.54 / $44.27	Professional	TC	$37.54	$37.54	$44.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $59.95 / $161.32	Professional		$49.00	$59.95	$161.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $16.95 / $42.90	Professional	26	$13.69	$16.95	$42.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.24 / $41.26 / $137.49	Professional	TC	$35.24	$41.26	$137.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $59.73 / $160.00	Professional		$49.00	$59.73	$160.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $13.65 / $17.39 / $42.90	Professional	26	$13.65	$17.39	$42.90
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $35.24 / $41.68 / $120.69	Professional	TC	$35.24	$41.68	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.64 / $180.54	Professional		$39.92	$63.64	$180.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $18.69 / $50.87	Professional	26	$12.00	$18.69	$50.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.17 / $45.04 / $129.66	Professional	TC	$30.17	$45.04	$129.66