Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $569.17	Professional		$425.00	$425.00	$569.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $127.50 / $154.00	Professional	26	$112.50	$127.50	$154.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $187.50 / $212.50 / $212.50	Professional	52	$187.50	$212.50	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $297.50 / $477.24	Professional	TC	$297.50	$297.50	$477.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $395.69 / $395.69 / $395.69	Facility	26	$395.69	$395.69	$395.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.50 / $896.59 / $1,099.00	Professional		$313.50	$896.59	$1,099.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.62 / $270.45 / $270.45	Professional	26	$84.62	$270.45	$270.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.56 / $221.56 / $261.18	Professional	TC	$221.56	$221.56	$261.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.26 / $518.59 / $896.59	Professional		$310.26	$518.59	$896.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.37 / $95.29 / $270.45	Professional	26	$83.37	$95.29	$270.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.97 / $231.64 / $680.31	Professional	TC	$214.97	$231.64	$680.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $310.26 / $518.59 / $896.59	Professional		$310.26	$518.59	$896.59
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $88.31 / $95.29 / $270.45	Professional	26	$88.31	$95.29	$270.45
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $214.97 / $231.64 / $644.96	Professional	TC	$214.97	$231.64	$644.96
United Facility/Professional Professional Modifier Low / Median / High Price $255.66 / $509.22 / $878.47	Professional		$255.66	$509.22	$878.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.83 / $95.94 / $287.69	Professional	26	$65.83	$95.94	$287.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.13 / $341.96 / $704.32	Professional	TC	$163.13	$341.96	$704.32