Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.61 / $52.61 / $52.61	Facility	26	$52.61	$52.61	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $95.04 / $97.78	Professional		$90.59	$95.04	$97.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $50.34 / $52.61	Professional	26	$44.52	$50.34	$52.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.29 / $44.70 / $52.18	Professional	TC	$42.29	$44.70	$52.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $135.53 / $358.53	Professional		$114.97	$135.53	$358.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $126.26 / $358.53	Professional		$79.75	$126.26	$358.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $64.19 / $162.82	Professional	26	$34.40	$64.19	$162.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.34 / $62.05 / $116.77	Professional	TC	$45.34	$62.05	$116.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $126.26 / $221.41	Professional		$104.49	$126.26	$221.41
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $56.64 / $65.25 / $104.64	Professional	26	$56.64	$65.25	$104.64
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $50.51 / $63.38 / $90.43	Professional	TC	$50.51	$63.38	$90.43
United Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $139.06 / $404.26	Professional		$131.91	$139.06	$404.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.73 / $72.23 / $191.08	Professional	26	$65.73	$72.23	$191.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.36 / $73.33 / $213.18	Professional	TC	$60.36	$73.33	$213.18