Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $61.08 / $272.00	Professional		$52.75	$61.08	$272.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $9.44 / $43.63	Professional	26	$8.28	$9.44	$43.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.98 / $29.97 / $152.36	Professional	52	$27.98	$29.97	$152.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $50.39 / $82.01	Professional	TC	$45.29	$50.39	$82.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $78.86 / $208.28	Professional		$66.89	$78.86	$208.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.45 / $12.31 / $31.71	Professional	26	$10.45	$12.31	$31.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.85 / $56.85 / $67.02	Professional	TC	$56.85	$56.85	$67.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $78.29 / $208.28	Professional		$62.32	$78.29	$208.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.32 / $31.71	Professional	26	$10.11	$12.32	$31.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.14 / $62.88 / $197.38	Professional	TC	$52.14	$62.88	$197.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $76.94 / $208.28	Professional		$62.32	$76.94	$208.28
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.87 / $31.71	Professional	26	$10.11	$12.87	$31.71
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $51.68 / $63.38 / $173.27	Professional	TC	$51.68	$63.38	$173.27
United Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $80.56 / $233.94	Professional		$54.51	$80.56	$233.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.40 / $37.65	Professional	26	$8.91	$12.40	$37.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.60 / $68.09 / $196.29	Professional	TC	$45.60	$68.09	$196.29