Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.01 / $94.62 / $139.58	Facility	26	$86.01	$94.62	$139.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.07 / $400.00 / $522.50	Professional		$267.07	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.02 / $140.00 / $181.25	Professional	26	$86.02	$140.00	$181.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $133.54 / $200.00 / $200.00	Professional	52	$133.54	$200.00	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.05 / $281.41 / $368.50	Professional	TC	$181.05	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Professional		$94.98	$94.98	$94.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.43 / $604.92 / $2,528.48	Professional		$249.43	$604.92	$2,528.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.31 / $124.45 / $411.32	Professional	26	$73.31	$124.45	$411.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.19 / $448.63 / $1,723.03	Professional	TC	$162.19	$448.63	$1,723.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.10 / $146.05 / $226.35	Professional	26	$131.10	$146.05	$226.35
United Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $604.03 / $1,153.32	Professional		$243.17	$604.03	$1,153.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $116.67 / $235.23	Professional	26	$53.22	$116.67	$235.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.73 / $448.40 / $998.52	Professional	TC	$171.73	$448.40	$998.52