Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,230.27	Professional		$588.84	$724.44	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $147.91 / $537.03	Professional	26	$114.82	$147.91	$537.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.53 / $257.04 / $257.04	Professional	52	$199.53	$257.04	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $588.84 / $954.99	Professional	TC	$478.63	$588.84	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $257.04 / $295.12	Professional	26	$257.04	$257.04	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $891.25 / $1,071.52 / $1,380.38	Professional	TC	$891.25	$1,071.52	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,445.44	Professional		$870.96	$1,000.00	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $204.17 / $288.40	Professional	26	$162.18	$204.17	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $707.95 / $794.33 / $1,047.13	Professional	TC	$707.95	$794.33	$1,047.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $2,344.23	Professional		$776.25	$912.01	$2,344.23
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $177.83 / $436.52	Professional	26	$151.36	$177.83	$436.52
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $741.31 / $741.31	Professional	TC	$630.96	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,630.27	Professional		$831.76	$1,202.26	$2,630.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $245.47 / $524.81	Professional	26	$151.36	$245.47	$524.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $933.25 / $2,137.96	Professional	TC	$676.08	$933.25	$2,137.96