Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $602.56 / $1,819.70	Professional		$251.19	$602.56	$1,819.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $131.83 / $478.63	Professional	26	$66.07	$131.83	$478.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $512.86 / $524.81 / $870.96	Professional	52	$512.86	$524.81	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $338.84 / $1,258.93	Professional	TC	$173.78	$338.84	$1,258.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $1,096.48	Professional		$288.40	$331.13	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $114.82 / $295.12	Professional	26	$100.00	$114.82	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $190.55 / $218.78	Professional	TC	$190.55	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $1,122.02	Professional		$257.04	$630.96	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $107.15 / $239.88	Professional	26	$91.20	$107.15	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $407.38 / $954.99	Professional	TC	$169.82	$407.38	$954.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $851.14	Professional		$245.47	$245.47	$851.14
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 $169.82 / $169.82 / $169.82	Professional	TC	$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $891.25	Professional		$213.80	$457.09	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $239.88	Professional	26	$72.44	$104.71	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $281.84 / $645.65	Professional	TC	$141.25	$281.84	$645.65