Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $70.02 / $145.99	Professional		$42.71	$70.02	$145.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $30.45 / $173.53	Professional	26	$23.51	$30.45	$173.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.36 / $39.38 / $193.05	Professional	52	$21.36	$39.38	$193.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.01 / $48.98 / $65.80	Professional	TC	$37.01	$48.98	$65.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $169.70 / $169.70 / $169.70	Facility	26	$169.70	$169.70	$169.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $112.56 / $286.23	Professional		$91.54	$112.56	$286.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $44.07 / $126.78	Professional	26	$35.10	$44.07	$126.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.36 / $63.35 / $118.18	Professional	TC	$52.36	$63.35	$118.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $102.73 / $286.23	Professional		$82.71	$102.73	$286.23
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $43.35 / $126.78	Professional	26	$35.10	$43.35	$126.78
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $46.56 / $59.13 / $80.73	Professional	TC	$46.56	$59.13	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $95.10 / $156.32	Professional		$67.93	$95.10	$156.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $38.11 / $69.23	Professional	26	$29.83	$38.11	$69.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.22 / $50.72 / $88.95	Professional	TC	$36.22	$50.72	$88.95