Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.02 / $1,029.18 / $1,050.06	Professional		$964.02	$1,029.18	$1,050.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $200.31 / $207.93 / $217.96	Professional	26	$200.31	$207.93	$217.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $460.27 / $514.59 / $514.59	Professional	52	$460.27	$514.59	$514.59
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $184.11 / $205.84 / $205.84	Professional	53	$184.11	$205.84	$205.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $763.71 / $811.22 / $843.98	Professional	TC	$763.71	$811.22	$843.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $1,221.40 / $2,762.32	Professional		$787.74	$1,221.40	$2,762.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.06 / $262.70 / $404.43	Professional	26	$124.06	$262.70	$404.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $663.69 / $878.28 / $1,678.97	Professional	TC	$663.69	$878.28	$1,678.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $1,221.40 / $2,762.32	Professional		$787.74	$1,221.40	$2,762.32
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $124.06 / $262.70 / $404.43	Professional	26	$124.06	$262.70	$404.43
MVP Health Care Facility/Professional Professional Modifier 53 Low / Median / High Price $631.58 / $631.58 / $631.58	Professional	53	$631.58	$631.58	$631.58
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $663.69 / $878.28 / $1,678.97	Professional	TC	$663.69	$878.28	$1,678.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.67 / $1,324.33 / $3,390.44	Professional		$1,137.67	$1,324.33	$3,390.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $168.59 / $247.44 / $496.40	Professional	26	$168.59	$247.44	$496.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $971.85 / $1,054.53 / $2,894.04	Professional	TC	$971.85	$1,054.53	$2,894.04