Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $40.74 / $102.33	Professional		$14.45	$40.74	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $14.13 / $29.51	Professional	26	$6.03	$14.13	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $52.48 / $128.82	Professional	50	$48.98	$52.48	$128.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.88 / $60.26 / $67.61	Professional	52	$33.88	$60.26	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $52.48 / $97.72	Professional	TC	$22.39	$52.48	$97.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $125.89 / $125.89 / $588.84	Facility	TC	$125.89	$125.89	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $162.18	Professional		$38.02	$38.02	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.51 / $28.18	Professional	26	$8.51	$8.51	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $38.02	Professional	TC	$30.90	$30.90	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $117.49	Professional		$35.48	$46.77	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.77 / $20.89	Professional	26	$8.32	$9.77	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.02 / $97.72	Professional	TC	$27.54	$38.02	$97.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $162.18	Professional		$33.88	$33.88	$162.18
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.08 / $28.18	Professional	26	$7.08	$7.08	$28.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $131.83	Professional		$33.11	$41.69	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.71 / $22.91	Professional	26	$6.92	$8.71	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.62 / $109.65	Professional	TC	$24.55	$31.62	$109.65