Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.53 / $69.53 / $69.53	Facility	26	$69.53	$69.53	$69.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $198.00 / $202.82	Professional		$95.12	$198.00	$202.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.84 / $66.15 / $69.53	Professional	26	$43.84	$66.15	$69.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.56 / $101.41 / $101.41	Professional	52	$47.56	$101.41	$101.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.27 / $131.86 / $133.29	Professional	TC	$51.27	$131.86	$133.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.93 / $111.93 / $157.87	Professional	26	$111.93	$111.93	$157.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.51 / $232.43 / $336.35	Professional	TC	$121.51	$232.43	$336.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $229.39 / $336.35	Professional		$72.20	$229.39	$336.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $84.81 / $157.87	Professional	26	$33.35	$84.81	$157.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.85 / $143.28 / $187.19	Professional	TC	$38.85	$143.28	$187.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $241.75 / $336.35	Professional		$139.03	$241.75	$336.35
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $62.27 / $86.44 / $126.70	Professional	26	$62.27	$86.44	$126.70
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $76.75 / $145.74 / $164.74	Professional	TC	$76.75	$145.74	$164.74
United Facility/Professional Professional Modifier Low / Median / High Price $166.82 / $200.96 / $327.82	Professional		$166.82	$200.96	$327.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $99.49 / $186.52	Professional	26	$64.16	$99.49	$186.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.70 / $152.25 / $220.83	Professional	TC	$69.70	$152.25	$220.83