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 $427.50 / $427.50 / $427.50	Facility	26	$427.50	$427.50	$427.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.79 / $1,018.89 / $1,099.00	Professional		$325.79	$1,018.89	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.84 / $91.84 / $291.26	Professional	26	$91.84	$91.84	$291.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.95 / $233.95 / $267.74	Professional	TC	$233.95	$233.95	$267.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $602.98 / $1,018.89	Professional		$348.10	$602.98	$1,018.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.32 / $102.65 / $291.26	Professional	26	$90.32	$102.65	$291.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.45 / $415.83 / $1,062.95	Professional	TC	$245.45	$415.83	$1,062.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $602.98 / $1,018.89	Professional		$348.10	$602.98	$1,018.89
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $94.77 / $102.65 / $291.26	Professional	26	$94.77	$102.65	$291.26
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $245.45 / $415.83 / $665.43	Professional	TC	$245.45	$415.83	$665.43
United Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $556.46 / $1,083.83	Professional		$262.39	$556.46	$1,083.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.80 / $103.63 / $277.58	Professional	26	$71.80	$103.63	$277.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.24 / $397.39 / $774.00	Professional	TC	$195.24	$397.39	$774.00