Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.15 / $126.00 / $2,168.04	Facility	26	$70.15	$126.00	$2,168.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.29 / $51.99 / $85.00	Facility	53	$44.29	$51.99	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $475.00 / $1,320.50	Professional		$202.14	$475.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $126.00 / $204.00	Professional	26	$70.90	$126.00	$204.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.07 / $212.50 / $212.50	Professional	52	$101.07	$212.50	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.25 / $299.00 / $368.50	Professional	TC	$131.25	$299.00	$368.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $381.83 / $672.49	Professional		$202.01	$381.83	$672.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.94 / $76.25 / $127.86	Professional	26	$50.94	$76.25	$127.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.04 / $285.63 / $581.60	Professional	TC	$128.04	$285.63	$581.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $201.91 / $241.85	Professional		$198.98	$201.91	$241.85
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.41 / $121.71 / $721.51	Professional	26	$68.41	$121.71	$721.51
United Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $400.00 / $682.82	Professional		$187.43	$400.00	$682.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $83.73 / $166.44	Professional	26	$55.94	$83.73	$166.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.91 / $205.90 / $589.10	Professional	TC	$127.91	$205.90	$589.10