Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.75 / $272.73 / $321.52	Professional		$221.75	$272.73	$321.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $60.22 / $64.00	Professional	26	$44.14	$60.22	$64.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $83.63 / $146.65 / $146.65	Professional	52	$83.63	$146.65	$146.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.61 / $221.14 / $257.52	Professional	TC	$177.61	$221.14	$257.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $340.53 / $340.53 / $340.53	Facility	26	$340.53	$340.53	$340.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.34 / $586.20 / $1,099.00	Professional		$216.34	$586.20	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.68 / $78.59 / $215.24	Professional	26	$66.68	$78.59	$215.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.80 / $137.80 / $162.43	Professional	TC	$137.80	$137.80	$162.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $358.04 / $586.20	Professional		$203.04	$358.04	$586.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.75 / $79.70 / $215.24	Professional	26	$70.75	$79.70	$215.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.26 / $178.12 / $483.46	Professional	TC	$127.26	$178.12	$483.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $358.04 / $586.20	Professional		$203.04	$358.04	$586.20
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $70.75 / $79.70 / $215.24	Professional	26	$70.75	$79.70	$215.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $127.26 / $178.12 / $304.86	Professional	TC	$127.26	$178.12	$304.86
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $303.54 / $602.36	Professional		$160.60	$303.54	$602.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.98 / $228.96	Professional	26	$56.23	$81.98	$228.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.01 / $202.60 / $394.61	Professional	TC	$99.01	$202.60	$394.61