Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $1,862.09	Professional		$223.87	$478.63	$1,862.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $125.89 / $281.84	Professional	26	$66.07	$125.89	$281.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $154.88 / $501.19 / $524.81	Professional	52	$154.88	$501.19	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $338.84 / $1,258.93	Professional	TC	$141.25	$338.84	$1,258.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,096.48	Professional		$302.00	$302.00	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $295.12	Professional	26	$93.33	$93.33	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $204.17 / $239.88	Professional	TC	$204.17	$204.17	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $1,230.27	Professional		$263.03	$645.65	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $104.71 / $218.78	Professional	26	$89.13	$104.71	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $426.58 / $1,071.52	Professional	TC	$177.83	$426.58	$1,071.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $870.96	Professional		$245.47	$245.47	$870.96
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $295.12	Professional	26	$74.13	$74.13	$295.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $891.25	Professional		$218.78	$478.63	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $239.88	Professional	26	$72.44	$97.72	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $295.12 / $724.44	Professional	TC	$147.91	$295.12	$724.44