Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $208.93	Professional		$42.66	$72.44	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $44.67 / $75.86	Professional	26	$26.30	$44.67	$75.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.74 / $61.66 / $83.18	Professional	52	$40.74	$61.66	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $104.71	Professional	TC	$20.89	$34.67	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $223.87	Professional		$35.48	$64.57	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $41.69 / $120.23	Professional	26	$41.69	$41.69	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $165.96	Professional		$72.44	$77.62	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $41.69 / $89.13	Professional	26	$38.90	$41.69	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $35.48 / $74.13	Professional	TC	$29.51	$35.48	$74.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $223.87	Professional		$56.23	$56.23	$223.87
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $120.23	Professional	26	$30.20	$30.20	$120.23
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	TC	$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $141.25	Professional		$56.23	$79.43	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $95.50	Professional	26	$30.90	$42.66	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $83.18	Professional	TC	$25.12	$35.48	$83.18