Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.28 / $46.51 / $89.16	Facility	26	$42.28	$46.51	$89.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $141.30 / $278.51	Professional		$93.47	$141.30	$278.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $83.81 / $87.66	Professional	26	$36.38	$83.81	$87.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.69 / $63.69 / $73.48	Professional	52	$63.69	$63.69	$73.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.17 / $175.47 / $201.03	Professional	TC	$86.17	$175.47	$201.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $129.53 / $262.69	Professional		$57.21	$129.53	$262.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.27 / $46.27 / $46.27	Facility	26	$46.27	$46.27	$46.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $256.77 / $1,004.42	Professional		$111.28	$256.77	$1,004.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.18 / $68.73 / $262.57	Professional	26	$35.18	$68.73	$262.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.09 / $191.91 / $701.72	Professional	TC	$76.09	$191.91	$701.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.59 / $210.59 / $210.59	Professional		$210.59	$210.59	$210.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $106.35 / $109.00	Professional	26	$63.20	$106.35	$109.00
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.08 / $168.08 / $168.08	Professional	TC	$168.08	$168.08	$168.08
United Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $240.50 / $488.60	Professional		$110.03	$240.50	$488.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.88 / $57.58 / $111.56	Professional	26	$22.88	$57.58	$111.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.28 / $183.94 / $377.12	Professional	TC	$75.28	$183.94	$377.12