Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,258.93	Professional		$549.54	$707.95	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $190.55 / $524.81	Professional	26	$112.20	$190.55	$524.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $190.55 / $257.04 / $275.42	Professional	52	$190.55	$257.04	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $562.34 / $912.01	Professional	TC	$446.68	$562.34	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,238.72	Professional		$1,071.52	$1,258.93	$2,238.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $239.88 / $281.84	Professional	26	$239.88	$239.88	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $812.83 / $812.83 / $954.99	Professional	TC	$812.83	$812.83	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,380.38	Professional		$812.83	$912.01	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $190.55 / $275.42	Professional	26	$158.49	$190.55	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $660.69 / $741.31 / $1,000.00	Professional	TC	$660.69	$741.31	$1,000.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $2,238.72	Professional		$741.31	$870.96	$2,238.72
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $173.78 / $426.58	Professional	26	$144.54	$173.78	$426.58
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $691.83 / $691.83	Professional	TC	$588.84	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,511.89	Professional		$776.25	$1,096.48	$2,511.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $229.09 / $501.19	Professional	26	$144.54	$229.09	$501.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $645.65 / $851.14 / $2,041.74	Professional	TC	$645.65	$851.14	$2,041.74