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 / $115.91	Facility	26	$71.98	$79.17	$115.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $400.00 / $522.50	Professional		$190.33	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $144.00 / $153.19	Professional	26	$65.95	$144.00	$153.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.17 / $200.00 / $200.00	Professional	52	$95.17	$200.00	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.36 / $281.41 / $368.50	Professional	TC	$118.36	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $187.28 / $394.74	Professional		$98.93	$187.28	$394.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	26	$80.59	$80.59	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.07 / $476.71 / $2,300.78	Professional		$174.07	$476.71	$2,300.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.27 / $104.04 / $339.71	Professional	26	$61.27	$104.04	$339.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.81 / $292.06 / $1,429.60	Professional	TC	$105.81	$292.06	$1,429.60
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.71 / $185.23 / $188.02	Professional	26	$111.71	$185.23	$188.02
United Facility/Professional Professional Modifier Low / Median / High Price $178.37 / $494.13 / $1,045.57	Professional		$178.37	$494.13	$1,045.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.41 / $89.64 / $173.95	Professional	26	$44.41	$89.64	$173.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.75 / $312.89 / $892.54	Professional	TC	$111.75	$312.89	$892.54