Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $60.12 / $261.00	Professional		$52.63	$60.12	$261.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $13.58 / $61.80	Professional	26	$11.24	$13.58	$61.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.10 / $30.06 / $144.32	Professional	52	$27.10	$30.06	$144.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.39 / $46.03 / $77.70	Professional	TC	$41.39	$46.03	$77.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $79.09 / $199.08	Professional		$67.09	$79.09	$199.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $17.89 / $42.90	Professional	26	$15.17	$17.89	$42.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.94 / $61.23 / $61.23	Professional	TC	$51.94	$61.23	$61.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $74.00 / $204.33	Professional		$61.85	$74.00	$204.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $16.95 / $42.90	Professional	26	$13.69	$16.95	$42.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.91 / $57.05 / $186.49	Professional	TC	$46.91	$57.05	$186.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $74.51 / $199.08	Professional		$60.67	$74.51	$199.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $13.65 / $17.39 / $42.90	Professional	26	$13.65	$17.39	$42.90
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $46.91 / $57.13 / $163.71	Professional	TC	$46.91	$57.13	$163.71
United Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $81.48 / $151.22	Professional		$70.18	$81.48	$151.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $18.69 / $50.87	Professional	26	$12.00	$18.69	$50.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $62.21 / $109.03	Professional	TC	$39.24	$62.21	$109.03