Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $75.06 / $93.79	Professional		$56.27	$75.06	$93.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $27.04 / $33.36	Professional	26	$23.69	$27.04	$33.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.14 / $37.54 / $46.90	Professional	52	$28.14	$37.54	$46.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.58 / $43.48 / $63.49	Professional	TC	$32.58	$43.48	$63.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $89.48 / $105.47	Professional		$89.48	$89.48	$105.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $33.68 / $39.71	Professional	26	$33.68	$33.68	$39.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.15 / $63.15 / $74.44	Professional	TC	$63.15	$63.15	$74.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $65.64 / $143.33	Professional		$58.26	$65.64	$143.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $28.48 / $62.58	Professional	26	$20.20	$28.48	$62.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $38.29 / $50.08	Professional	TC	$35.61	$38.29	$50.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $65.64 / $118.14	Professional		$58.26	$65.64	$118.14
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $28.48 / $51.59	Professional	26	$20.20	$28.48	$51.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $33.70 / $38.29 / $53.14	Professional	TC	$33.70	$38.29	$53.14
United Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $85.98 / $137.08	Professional		$54.60	$85.98	$137.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $36.18 / $58.25	Professional	26	$23.93	$36.18	$58.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $47.09 / $83.15	Professional	TC	$30.83	$47.09	$83.15