Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $144.54	Professional		$87.10	$107.15	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $57.54 / $83.18	Professional	TC	$45.71	$57.54	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $354.81	Professional		$112.20	$112.20	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $223.87	Professional		$89.13	$125.89	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $63.10 / $114.82	Professional	TC	$37.15	$63.10	$114.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $354.81	Professional		$117.49	$151.36	$354.81
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $81.28	Professional	TC	$58.88	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $407.38	Professional		$95.50	$141.25	$407.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $70.79 / $208.93	Professional	TC	$33.11	$70.79	$208.93