Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $120.23	Professional		$77.62	$89.13	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $61.66	Professional	26	$38.90	$46.77	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $42.66 / $63.10	Professional	TC	$38.90	$42.66	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $323.59	Professional		$95.50	$95.50	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $194.98	Professional		$79.43	$109.65	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $102.33	Professional	26	$50.12	$60.26	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $50.12 / $85.11	Professional	TC	$28.18	$50.12	$85.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $323.59	Professional		$107.15	$125.89	$323.59
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $162.18	Professional	26	$54.95	$64.57	$162.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $60.26 / $60.26	Professional	TC	$51.29	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $354.81	Professional		$87.10	$123.03	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $186.21	Professional	26	$53.70	$64.57	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $57.54 / $169.82	Professional	TC	$26.92	$57.54	$169.82