Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $323.59	Professional		$67.61	$91.20	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $33.88 / $100.00	Professional	26	$19.95	$33.88	$100.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.50 / $100.00 / $151.36	Professional	52	$95.50	$100.00	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $63.10 / $257.04	Professional	TC	$31.62	$63.10	$257.04
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $239.88	Professional		$97.72	$97.72	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $95.50	Professional	26	$35.48	$35.48	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $63.10 / $173.78	Professional	TC	$63.10	$63.10	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $281.84	Professional		$79.43	$131.83	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $38.90 / $114.82	Professional	26	$19.95	$38.90	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $87.10 / $190.55	Professional	TC	$43.65	$87.10	$190.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $239.88	Professional		$58.88	$81.28	$239.88
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $30.20 / $114.82	Professional	26	$26.92	$30.20	$114.82
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $51.29 / $61.66	Professional	TC	$31.62	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $208.93	Professional		$75.86	$95.50	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $33.88 / $75.86	Professional	26	$27.54	$33.88	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $61.66 / $104.71	Professional	TC	$47.86	$61.66	$104.71