Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $81.96 / $82.77	Professional		$76.56	$81.96	$82.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $24.51 / $26.10	Professional	26	$23.58	$24.51	$26.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.00 / $40.98 / $40.98	Professional	52	$23.00	$40.98	$40.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.99 / $56.25 / $58.55	Professional	TC	$52.99	$56.25	$58.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $93.05 / $136.50	Professional		$50.93	$93.05	$136.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $68.63 / $136.50	Professional		$43.72	$68.63	$136.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.75 / $76.37	Professional	26	$20.89	$28.75	$76.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $43.95 / $109.08	Professional	TC	$19.39	$43.95	$109.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $68.63 / $136.50	Professional		$43.72	$68.63	$136.50
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $24.32 / $76.37	Professional	26	$20.89	$24.32	$76.37
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $43.95 / $75.68	Professional	TC	$19.39	$43.95	$75.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $86.02 / $167.54	Professional		$49.08	$86.02	$167.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $31.50 / $93.74	Professional	26	$23.50	$31.50	$93.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $35.92 / $69.09	Professional	TC	$22.63	$35.92	$69.09