Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $121.68 / $430.00	Professional		$83.20	$121.68	$430.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $12.84 / $57.00	Professional	26	$10.29	$12.84	$57.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.49 / $58.00 / $229.70	Professional	52	$46.49	$58.00	$229.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.11 / $108.84 / $129.96	Professional	TC	$82.11	$108.84	$129.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $144.74 / $301.41	Professional		$122.79	$144.74	$301.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $165.77 / $301.41	Professional		$91.63	$165.77	$301.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $17.21 / $42.42	Professional	26	$12.66	$17.21	$42.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.90 / $135.88 / $196.92	Professional	TC	$78.90	$135.88	$196.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $151.86 / $301.41	Professional		$91.63	$151.86	$301.41
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $17.21 / $42.42	Professional	26	$12.73	$17.21	$42.42
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $78.90 / $119.29 / $165.08	Professional	TC	$78.90	$119.29	$165.08
United Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $156.28 / $352.53	Professional		$86.61	$156.28	$352.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $17.59 / $51.12	Professional	26	$12.53	$17.59	$51.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.48 / $138.32 / $301.41	Professional	TC	$73.48	$138.32	$301.41