Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $43.98 / $54.96	Professional		$37.90	$43.98	$54.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $14.55	Professional	26	$10.02	$11.82	$14.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.34 / $21.99 / $23.37	Professional	52	$21.34	$21.99	$23.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $32.00 / $40.40	Professional	TC	$27.87	$32.00	$40.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $65.76 / $65.76 / $65.76	Facility	26	$65.76	$65.76	$65.76
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $159.22 / $655.26 / $720.64	Facility	TC	$159.22	$655.26	$720.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $58.90 / $198.87	Professional		$49.96	$58.90	$198.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $16.23 / $46.62	Professional	26	$13.78	$16.23	$46.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.57 / $36.57 / $43.95	Professional	TC	$36.57	$36.57	$43.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $69.20 / $198.87	Professional		$53.28	$69.20	$198.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $16.02 / $46.62	Professional	26	$14.23	$16.02	$46.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.74 / $42.83 / $73.45	Professional	TC	$37.74	$42.83	$73.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $60.62 / $198.87	Professional		$50.16	$60.62	$198.87
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $16.02 / $46.62	Professional	26	$14.68	$16.02	$46.62
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $39.26 / $73.45	Professional	TC	$35.65	$39.26	$73.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $57.73 / $211.55	Professional		$42.17	$57.73	$211.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $16.27 / $42.83	Professional	26	$11.17	$16.27	$42.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $42.34 / $161.96	Professional	TC	$31.20	$42.34	$161.96