Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.33 / $49.33 / $49.33	Facility	26	$49.33	$49.33	$49.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $88.81 / $88.81	Professional		$82.40	$88.81	$88.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.04 / $49.33 / $49.33	Professional	26	$44.04	$49.33	$49.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.20 / $39.47 / $41.09	Professional	TC	$37.20	$39.47	$41.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $111.92 / $320.80	Professional		$94.94	$111.92	$320.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $116.88 / $320.80	Professional		$70.45	$116.88	$320.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $62.72 / $160.36	Professional	26	$33.72	$62.72	$160.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.36 / $49.91 / $92.10	Professional	TC	$31.36	$49.91	$92.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $116.88 / $195.09	Professional		$79.62	$116.88	$195.09
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $62.75 / $103.00	Professional	26	$54.86	$62.75	$103.00
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $31.36 / $56.48 / $85.92	Professional	TC	$31.36	$56.48	$85.92
United Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $102.57 / $202.16	Professional		$86.79	$102.57	$202.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.46 / $66.84 / $125.80	Professional	26	$50.46	$66.84	$125.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.78 / $57.83 / $168.13	Professional	TC	$26.78	$57.83	$168.13