Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $29.32 / $36.61	Professional		$25.25	$29.32	$36.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $10.19	Professional	26	$7.03	$8.22	$10.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.20 / $14.66 / $14.66	Professional	52	$14.20	$14.66	$14.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $20.92 / $26.40	Professional	TC	$18.21	$20.92	$26.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.61 / $45.61 / $45.61	Facility	26	$45.61	$45.61	$45.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $39.08 / $121.67	Professional		$33.15	$39.08	$121.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $11.39 / $32.28	Professional	26	$9.66	$11.39	$32.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $23.50 / $27.70	Professional	TC	$23.50	$23.50	$27.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $41.25 / $121.67	Professional		$35.61	$41.25	$121.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $11.09 / $32.28	Professional	26	$10.03	$11.09	$32.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $28.08 / $45.07	Professional	TC	$24.66	$28.08	$45.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $40.43 / $121.67	Professional		$33.64	$40.43	$121.67
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $11.09 / $32.28	Professional	26	$10.35	$11.09	$32.28
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $26.43 / $45.07	Professional	TC	$23.29	$26.43	$45.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $38.60 / $106.46	Professional		$28.51	$38.60	$106.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $11.44 / $34.34	Professional	26	$7.89	$11.44	$34.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.19 / $26.72 / $95.08	Professional	TC	$19.19	$26.72	$95.08