Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $278.51 / $300.23	Professional		$226.80	$278.51	$300.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.17 / $57.37 / $67.16	Professional	26	$49.17	$57.37	$67.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $80.43 / $150.12 / $150.12	Professional	52	$80.43	$150.12	$150.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $233.08	Professional	TC	$177.61	$221.14	$233.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $333.11 / $333.11 / $333.11	Facility	26	$333.11	$333.11	$333.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $292.89 / $565.94	Professional		$292.89	$292.89	$565.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.38 / $71.38 / $170.70	Professional	26	$71.38	$71.38	$170.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.52 / $221.52 / $226.03	Professional	TC	$221.52	$221.52	$226.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $315.26 / $565.94	Professional		$184.54	$315.26	$565.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $73.39 / $170.70	Professional	26	$55.54	$73.39	$170.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.01 / $135.33 / $396.49	Professional	TC	$129.01	$135.33	$396.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $315.26 / $565.94	Professional		$184.54	$315.26	$565.94
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $73.39 / $170.70	Professional	26	$55.54	$73.39	$170.70
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $129.01 / $135.33 / $301.87	Professional	TC	$129.01	$135.33	$301.87
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $309.08 / $530.40	Professional		$141.47	$309.08	$530.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.07 / $74.52 / $162.63	Professional	26	$42.07	$74.52	$162.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $215.86 / $420.43	Professional	TC	$97.44	$215.86	$420.43