Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $40.04 / $42.40	Professional		$34.52	$40.04	$42.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $11.16 / $11.27	Professional	26	$9.44	$11.16	$11.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.40 / $20.03 / $20.03	Professional	52	$14.40	$20.03	$20.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $28.78 / $31.24	Professional	TC	$25.05	$28.78	$31.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $56.26 / $121.71	Professional		$47.73	$56.26	$121.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Professional	26	$13.10	$13.10	$13.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.34 / $34.34 / $34.34	Professional	TC	$34.34	$34.34	$34.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $49.06 / $121.71	Professional		$42.24	$49.06	$121.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $14.51 / $38.03	Professional	26	$13.06	$14.51	$38.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $34.82 / $61.19	Professional	TC	$29.17	$34.82	$61.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $49.06 / $121.71	Professional		$42.24	$49.06	$121.71
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $14.51 / $38.03	Professional	26	$13.06	$14.51	$38.03
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $34.82 / $49.12	Professional	TC	$29.17	$34.82	$49.12
United Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $52.27 / $118.69	Professional		$32.28	$52.27	$118.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $13.47 / $36.08	Professional	26	$9.81	$13.47	$36.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $36.53 / $89.01	Professional	TC	$22.47	$36.53	$89.01