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 $689.53 / $689.53 / $689.53	Facility	26	$689.53	$689.53	$689.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.77 / $589.12 / $1,799.00	Professional		$499.77	$589.12	$1,799.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.55 / $148.55 / $456.25	Professional	26	$148.55	$148.55	$456.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $344.35 / $344.35 / $405.92	Professional	TC	$344.35	$344.35	$405.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.31 / $826.84 / $1,414.13	Professional		$486.31	$826.84	$1,414.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.24 / $160.96 / $456.25	Professional	26	$146.24	$160.96	$456.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.33 / $361.66 / $1,115.53	Professional	TC	$325.33	$361.66	$1,115.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $486.31 / $826.84 / $1,414.13	Professional		$486.31	$826.84	$1,414.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $147.97 / $160.96 / $456.25	Professional	26	$147.97	$160.96	$456.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $325.33 / $361.66 / $981.46	Professional	TC	$325.33	$361.66	$981.46
United Facility/Professional Professional Modifier Low / Median / High Price $359.82 / $772.32 / $1,504.26	Professional		$359.82	$772.32	$1,504.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.20 / $162.22 / $485.33	Professional	26	$114.20	$162.22	$485.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.35 / $523.14 / $1,207.46	Professional	TC	$253.35	$523.14	$1,207.46