Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $32.89 / $40.56	Professional		$28.41	$32.89	$40.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $6.88 / $8.46	Professional	26	$5.83	$6.88	$8.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.97 / $16.45 / $18.91	Professional	52	$15.97	$16.45	$18.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $25.92 / $30.94	Professional	TC	$22.57	$25.92	$30.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.22 / $39.22 / $39.22	Facility	26	$39.22	$39.22	$39.22
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $125.50 / $531.42 / $583.01	Facility	TC	$125.50	$531.42	$583.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $46.25 / $161.68	Professional		$37.77	$46.25	$161.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $8.53 / $28.01	Professional	26	$8.53	$8.53	$28.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $30.94 / $38.11	Professional	TC	$30.94	$30.94	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $55.94 / $161.68	Professional		$38.61	$55.94	$161.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $9.61 / $28.01	Professional	26	$8.63	$9.61	$28.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $36.83 / $64.53	Professional	TC	$29.19	$36.83	$64.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $46.41 / $161.68	Professional		$35.38	$46.41	$161.68
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $9.61 / $28.01	Professional	26	$8.90	$9.61	$28.01
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.57 / $34.82 / $64.53	Professional	TC	$27.57	$34.82	$64.53
United Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $46.37 / $171.99	Professional		$33.42	$46.37	$171.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $9.91 / $26.55	Professional	26	$7.22	$9.91	$26.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $37.26 / $142.19	Professional	TC	$24.72	$37.26	$142.19