Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.97 / $144.97 / $144.97	Facility	26	$144.97	$144.97	$144.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.97 / $821.91 / $991.21	Professional		$666.97	$821.91	$991.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.01 / $137.93 / $175.32	Professional	26	$132.01	$137.93	$175.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $299.05 / $418.19 / $418.19	Professional	52	$299.05	$418.19	$418.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $534.96 / $683.99 / $815.90	Professional	TC	$534.96	$683.99	$815.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $259.93 / $293.20 / $441.24	Professional	26	$259.93	$293.20	$441.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $899.14 / $1,158.96 / $2,338.01	Professional	TC	$899.14	$1,158.96	$2,338.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.70 / $951.59 / $2,338.01	Professional		$510.70	$951.59	$2,338.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.16 / $191.49 / $441.24	Professional	26	$92.16	$191.49	$441.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $418.54 / $777.22 / $1,163.89	Professional	TC	$418.54	$777.22	$1,163.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $845.82 / $944.79 / $1,449.42	Professional		$845.82	$944.79	$1,449.42
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $161.74 / $178.71 / $285.52	Professional	26	$161.74	$178.71	$285.52
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $682.13 / $733.96 / $1,042.01	Professional	TC	$682.13	$733.96	$1,042.01
United Facility/Professional Professional Modifier Low / Median / High Price $910.36 / $1,205.85 / $2,646.49	Professional		$910.36	$1,205.85	$2,646.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $179.34 / $257.81 / $521.35	Professional	26	$179.34	$257.81	$521.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $731.02 / $944.06 / $2,125.14	Professional	TC	$731.02	$944.06	$2,125.14