Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $128.82	Professional		$26.92	$38.02	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $38.02	Professional	26	$7.94	$10.96	$38.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $32.36 / $33.88	Professional	52	$30.20	$32.36	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $54.95	Professional	TC	$19.05	$28.18	$54.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $123.03	Professional		$47.86	$56.23	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	26	$13.18	$13.18	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	TC	$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $123.03	Professional		$42.66	$51.29	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.45 / $33.11	Professional	26	$12.88	$14.45	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $97.72	Professional	TC	$28.84	$37.15	$97.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $123.03	Professional		$40.74	$40.74	$123.03
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $38.02	Professional	26	$10.96	$10.96	$38.02
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	TC	$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $102.33	Professional		$32.36	$48.98	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.49 / $30.90	Professional	26	$9.77	$13.49	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $75.86	Professional	TC	$21.88	$30.90	$75.86