Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $138.79 / $478.33	Professional		$97.37	$138.79	$478.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $45.47 / $144.83	Professional	26	$29.75	$45.47	$144.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.52 / $63.65 / $357.53	Professional	52	$39.52	$63.65	$357.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.59 / $95.99 / $219.00	Professional	TC	$83.59	$95.99	$219.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $199.43 / $199.43 / $199.43	Facility	26	$199.43	$199.43	$199.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $166.12 / $513.02	Professional		$140.91	$166.12	$513.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.98 / $53.02 / $139.18	Professional	26	$44.98	$53.02	$139.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.72 / $121.08 / $121.08	Professional	TC	$102.72	$121.08	$121.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $172.09 / $513.02	Professional		$150.19	$172.09	$513.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $47.99 / $139.18	Professional	26	$40.46	$47.99	$139.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.74 / $124.52 / $207.25	Professional	TC	$109.74	$124.52	$207.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $169.47 / $513.02	Professional		$127.95	$169.47	$513.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $47.99 / $139.18	Professional	26	$39.04	$47.99	$139.18
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $89.72 / $121.48 / $201.56	Professional	TC	$89.72	$121.48	$201.56
United Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $144.22 / $280.18	Professional		$117.77	$144.22	$280.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $45.03 / $76.01	Professional	26	$34.61	$45.03	$76.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.16 / $113.01 / $215.45	Professional	TC	$83.16	$113.01	$215.45