Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.98 / $79.17 / $124.68	Facility	26	$71.98	$79.17	$124.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $400.00 / $522.50	Professional		$190.03	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.67 / $140.00 / $153.19	Professional	26	$66.67	$140.00	$153.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.02 / $200.00 / $200.00	Professional	52	$95.02	$200.00	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.05 / $281.41 / $368.50	Professional	TC	$118.05	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $186.67 / $393.46	Professional		$98.93	$186.67	$393.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $475.30 / $2,133.69	Professional		$174.90	$475.30	$2,133.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.00 / $111.69 / $367.25	Professional	26	$61.00	$111.69	$367.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.53 / $290.50 / $1,388.66	Professional	TC	$105.53	$290.50	$1,388.66
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.95 / $184.33 / $188.48	Professional	26	$113.95	$184.33	$188.48
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.10 / $233.10 / $233.10	Professional	TC	$233.10	$233.10	$233.10
United Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $465.02 / $973.98	Professional		$178.09	$465.02	$973.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.41 / $97.81 / $174.21	Professional	26	$44.41	$97.81	$174.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.47 / $291.07 / $805.25	Professional	TC	$111.47	$291.07	$805.25