Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $38.90 / $148.00	Professional		$33.32	$38.90	$148.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $25.97 / $114.00	Professional	26	$21.69	$25.97	$114.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.34 / $19.45 / $88.74	Professional	52	$17.34	$19.45	$88.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.64 / $12.55 / $21.76	Professional	TC	$11.64	$12.55	$21.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $48.61 / $122.35	Professional		$41.24	$48.61	$122.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $47.20 / $122.35	Professional		$37.85	$47.20	$122.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.42 / $30.92 / $79.56	Professional	26	$25.42	$30.92	$79.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.45 / $15.24 / $51.73	Professional	TC	$12.45	$15.24	$51.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $48.22 / $122.35	Professional		$37.84	$48.22	$122.35
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $32.26 / $79.56	Professional	26	$25.34	$32.26	$79.56
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $12.31 / $15.95 / $45.41	Professional	TC	$12.31	$15.95	$45.41
United Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $49.94 / $138.21	Professional		$32.58	$49.94	$138.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.29 / $33.71 / $94.42	Professional	26	$22.29	$33.71	$94.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.29 / $16.20 / $43.79	Professional	TC	$10.29	$16.20	$43.79