Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.18 / $72.79 / $105.30	Facility	26	$66.18	$72.79	$105.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $199.98 / $475.00	Professional		$132.00	$199.98	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.15 / $135.91 / $222.00	Professional	26	$66.15	$135.91	$222.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.99 / $200.00 / $200.00	Professional	52	$99.99	$200.00	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.80 / $281.41 / $368.50	Professional	TC	$133.80	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $205.74 / $417.97	Professional		$90.30	$205.74	$417.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $498.96 / $2,045.55	Professional		$184.41	$498.96	$2,045.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.99 / $94.02 / $304.82	Professional	26	$55.99	$94.02	$304.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.81 / $336.21 / $1,462.59	Professional	TC	$120.81	$336.21	$1,462.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.76 / $139.47 / $170.97	Professional	26	$99.76	$139.47	$170.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $489.93 / $1,018.01	Professional		$181.38	$489.93	$1,018.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $83.88 / $160.74	Professional	26	$41.04	$83.88	$160.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.07 / $360.21 / $787.23	Professional	TC	$126.07	$360.21	$787.23