Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $111.57 / $482.00	Professional		$79.51	$111.57	$482.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $35.59 / $79.51	Professional	26	$27.21	$35.59	$79.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $633.00 / $661.50 / $723.00	Professional	50	$633.00	$661.50	$723.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $70.84 / $116.77	Professional	TC	$58.37	$70.84	$116.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $156.52 / $441.57	Professional		$132.79	$156.52	$441.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.19 / $52.09 / $146.37	Professional	26	$44.19	$52.09	$146.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.39 / $88.39 / $104.20	Professional	TC	$88.39	$88.39	$104.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $149.07 / $441.57	Professional		$128.88	$149.07	$441.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $50.44 / $146.37	Professional	26	$42.55	$50.44	$146.37
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $132.24 / $132.24 / $132.24	Professional	50	$132.24	$132.24	$132.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.34 / $98.78 / $181.85	Professional	TC	$86.34	$98.78	$181.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $148.78 / $441.57	Professional		$124.46	$148.78	$441.57
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $41.30 / $50.29 / $146.37	Professional	26	$41.30	$50.29	$146.37
MVP Health Care Facility/Professional Professional Modifier 50 Low / Median / High Price $132.24 / $132.24 / $132.24	Professional	50	$132.24	$132.24	$132.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $72.30 / $98.47 / $161.02	Professional	TC	$72.30	$98.47	$161.02
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $152.66 / $241.16	Professional		$108.99	$152.66	$241.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $47.36 / $79.94	Professional	26	$37.17	$47.36	$79.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $101.14 / $161.22	Professional	TC	$71.81	$101.14	$161.22