Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.57 / $58.93 / $90.78	Facility	26	$53.57	$58.93	$90.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $147.88 / $272.73	Professional		$131.33	$147.88	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $55.82 / $111.42	Professional	26	$44.14	$55.82	$111.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $65.67 / $65.67 / $76.13	Professional	52	$65.67	$65.67	$76.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.87 / $96.43 / $221.14	Professional	TC	$80.87	$96.43	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $130.53 / $275.11	Professional		$71.94	$130.53	$275.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $296.41 / $1,199.04	Professional		$134.13	$296.41	$1,199.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.57 / $74.34 / $266.24	Professional	26	$44.57	$74.34	$266.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.37 / $197.95 / $711.96	Professional	TC	$71.37	$197.95	$711.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $238.94	Professional		$36.67	$36.67	$238.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.25 / $88.80 / $136.56	Professional	26	$81.25	$88.80	$136.56
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.65 / $157.65 / $157.65	Professional	TC	$157.65	$157.65	$157.65
United Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $282.52 / $546.71	Professional		$118.11	$282.52	$546.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $73.31 / $127.31	Professional	26	$34.45	$73.31	$127.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.34 / $212.10 / $424.74	Professional	TC	$78.34	$212.10	$424.74