Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $522.50	Professional		$425.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $127.50 / $154.00	Professional	26	$127.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $187.50 / $212.50 / $212.50	Professional	52	$187.50	$212.50	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $368.50	Professional	TC	$297.50	$297.50	$368.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $521.91 / $521.91 / $521.91	Facility	26	$521.91	$521.91	$521.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.01 / $1,099.00 / $1,200.79	Professional		$423.01	$1,099.00	$1,200.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.05 / $132.08 / $355.86	Professional	26	$112.05	$132.08	$355.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.10 / $302.10 / $356.10	Professional	TC	$302.10	$302.10	$356.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.25 / $699.73 / $1,200.79	Professional		$413.25	$699.73	$1,200.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.85 / $125.20 / $355.86	Professional	26	$110.85	$125.20	$355.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.05 / $317.33 / $949.79	Professional	TC	$288.05	$317.33	$949.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $413.25 / $699.73 / $1,200.79	Professional		$413.25	$699.73	$1,200.79
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $115.69 / $125.20 / $355.86	Professional	26	$115.69	$125.20	$355.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $288.05 / $317.33 / $739.42	Professional	TC	$288.05	$317.33	$739.42
United Facility/Professional Professional Modifier Low / Median / High Price $344.98 / $655.81 / $1,177.20	Professional		$344.98	$655.81	$1,177.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.75 / $126.20 / $378.54	Professional	26	$86.75	$126.20	$378.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.31 / $461.46 / $898.79	Professional	TC	$222.31	$461.46	$898.79