Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $89.19 / $427.24	Professional		$59.23	$89.19	$427.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $28.05 / $157.00	Professional	26	$23.46	$28.05	$157.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.62 / $46.11 / $444.97	Professional	52	$29.62	$46.11	$444.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $62.56 / $285.98	Professional	TC	$30.94	$62.56	$285.98
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $159.13 / $159.13 / $159.13	Facility	26	$159.13	$159.13	$159.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $239.99	Professional		$98.27	$98.27	$239.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.26 / $35.26 / $114.85	Professional	26	$35.26	$35.26	$114.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.16 / $63.16 / $74.45	Professional	TC	$63.16	$63.16	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $123.52 / $239.99	Professional		$84.55	$123.52	$239.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.76 / $39.20 / $114.85	Professional	26	$33.76	$39.20	$114.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.35 / $85.72 / $139.19	Professional	TC	$45.35	$85.72	$139.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $122.73 / $239.99	Professional		$81.09	$122.73	$239.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $38.72 / $114.85	Professional	26	$32.11	$38.72	$114.85
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $43.60 / $79.26 / $113.99	Professional	TC	$43.60	$79.26	$113.99
United Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $108.88 / $255.29	Professional		$80.34	$108.88	$255.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $35.28 / $62.73	Professional	26	$27.83	$35.28	$62.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.89 / $65.81 / $88.96	Professional	TC	$50.89	$65.81	$88.96