Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $398.11	Professional		$51.29	$69.18	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $79.43	Professional	26	$18.20	$25.70	$79.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	50	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $45.71 / $74.13	Professional	TC	$37.15	$45.71	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $229.09	Professional		$72.44	$72.44	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $144.54	Professional		$69.18	$81.28	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.12 / $42.66	Professional	26	$21.88	$25.12	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $54.95 / $81.28	Professional	TC	$47.86	$54.95	$81.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $229.09	Professional		$69.18	$83.18	$229.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $26.30 / $64.57	Professional	26	$22.39	$26.30	$64.57
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $56.23 / $56.23	Professional	TC	$47.86	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $208.93	Professional		$83.18	$89.13	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $26.92 / $77.62	Professional	26	$22.39	$26.92	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $63.10 / $181.97	Professional	TC	$57.54	$63.10	$181.97