Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $86.46 / $153.00	Professional		$48.13	$86.46	$153.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $32.95 / $146.00	Professional	26	$29.91	$32.95	$146.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.11 / $326.11 / $334.86	Professional	50	$326.11	$326.11	$334.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.12 / $46.09 / $167.43	Professional	52	$29.12	$46.09	$167.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $59.03 / $62.11	Professional	TC	$21.76	$59.03	$62.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $112.10 / $112.10	Professional		$95.09	$112.10	$112.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $111.49 / $175.43	Professional		$48.42	$111.49	$175.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.04 / $41.54 / $109.88	Professional	26	$22.04	$41.54	$109.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $47.62 / $112.04	Professional	TC	$18.07	$47.62	$112.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $79.38 / $172.50	Professional		$56.15	$79.38	$172.50
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $28.48 / $43.07 / $109.88	Professional	26	$28.48	$43.07	$109.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $46.37 / $81.59	Professional	TC	$20.60	$46.37	$81.59
United Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $103.06 / $168.66	Professional		$64.20	$103.06	$168.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $41.21 / $69.23	Professional	26	$31.76	$41.21	$69.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $44.60 / $75.00	Professional	TC	$31.76	$44.60	$75.00