Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.31 / $121.35 / $184.36	Facility	26	$110.31	$121.35	$184.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.44 / $424.10 / $522.50	Professional		$316.44	$424.10	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.54 / $177.67 / $235.15	Professional	26	$102.54	$177.67	$235.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $158.22 / $200.00 / $212.05	Professional	52	$158.22	$200.00	$212.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.12 / $286.20 / $368.50	Professional	TC	$206.12	$286.20	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $314.18 / $657.07	Professional		$153.81	$314.18	$657.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.88 / $123.88 / $123.88	Facility	26	$123.88	$123.88	$123.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $797.63 / $4,467.53	Professional		$294.64	$797.63	$4,467.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.15 / $164.13 / $539.84	Professional	26	$94.15	$164.13	$539.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.57 / $506.40 / $2,309.88	Professional	TC	$183.57	$506.40	$2,309.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.91 / $234.42 / $291.24	Professional	26	$156.91	$234.42	$291.24
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $405.47 / $405.47 / $405.47	Professional	TC	$405.47	$405.47	$405.47
United Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $559.41 / $1,913.81	Professional		$298.16	$559.41	$1,913.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.23 / $144.00 / $267.64	Professional	26	$70.23	$144.00	$267.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.66 / $553.59 / $1,689.80	Professional	TC	$195.66	$553.59	$1,689.80