Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $234.42	Professional		$40.74	$58.88	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $63.10	Professional	26	$22.91	$32.36	$63.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	52	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $114.82	Professional	TC	$15.14	$25.12	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $194.98	Professional		$64.57	$75.86	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $74.13	Professional		$38.90	$38.90	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $39.81	Professional	26	$25.12	$25.12	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $14.13	Professional	TC	$14.13	$14.13	$14.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $194.98	Professional		$79.43	$79.43	$194.98
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $104.71	Professional	26	$42.66	$42.66	$104.71
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $141.25	Professional		$56.23	$79.43	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $95.50	Professional	26	$30.90	$42.66	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $67.61	Professional	TC	$25.12	$35.48	$67.61