Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.76 / $52.76 / $52.76	Facility	26	$52.76	$52.76	$52.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $109.77 / $109.77	Professional		$100.26	$109.77	$109.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.71 / $57.01 / $57.01	Professional	TC	$53.71	$57.01	$57.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $131.87 / $354.94	Professional		$111.87	$131.87	$354.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $128.12 / $354.94	Professional		$80.62	$128.12	$354.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $63.64 / $113.65	Professional	TC	$43.67	$63.64	$113.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $128.12 / $223.22	Professional		$88.38	$128.12	$223.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $43.98 / $64.81 / $113.65	Professional	TC	$43.98	$64.81	$113.65
United Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $130.41 / $407.56	Professional		$95.66	$130.41	$407.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $71.37 / $207.48	Professional	TC	$32.96	$71.37	$207.48