Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $126.00 / $4,114.55	Facility	26	$64.42	$126.00	$4,114.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $425.00 / $763.00	Professional		$183.96	$425.00	$763.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $126.00 / $182.00	Professional	26	$65.42	$126.00	$182.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.19 / $212.50 / $212.50	Professional	52	$104.19	$212.50	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $299.00 / $368.50	Professional	TC	$142.94	$299.00	$368.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $385.81 / $647.76	Professional		$208.47	$385.81	$647.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $71.05 / $117.98	Professional	26	$46.89	$71.05	$117.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.65 / $297.14 / $558.04	Professional	TC	$140.65	$297.14	$558.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.56 / $243.08 / $291.60	Professional		$205.56	$243.08	$291.60
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.82 / $105.94 / $662.30	Professional	26	$62.82	$105.94	$662.30
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.74 / $219.74 / $219.74	Professional	TC	$219.74	$219.74	$219.74
United Facility/Professional Professional Modifier Low / Median / High Price $192.89 / $400.00 / $656.26	Professional		$192.89	$400.00	$656.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $75.92 / $151.44	Professional	26	$52.73	$75.92	$151.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.57 / $309.95 / $569.32	Professional	TC	$137.57	$309.95	$569.32