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 / $139.94 / $475.00	Professional		$132.00	$139.94	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.18 / $136.04 / $145.65	Professional	26	$66.18	$136.04	$145.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.84 / $200.00 / $200.00	Professional	52	$99.84	$200.00	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.50 / $281.41 / $368.50	Professional	TC	$133.50	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $205.41 / $417.31	Professional		$90.30	$205.41	$417.31
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 $184.68 / $501.53 / $2,045.55	Professional		$184.68	$501.53	$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 $120.53 / $335.43 / $1,491.02	Professional	TC	$120.53	$335.43	$1,491.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.09 / $111.58 / $171.28	Professional	26	$102.09	$111.58	$171.28
United Facility/Professional Professional Modifier Low / Median / High Price $186.54 / $491.57 / $922.97	Professional		$186.54	$491.57	$922.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.31 / $83.88 / $157.90	Professional	26	$40.31	$83.88	$157.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.07 / $359.37 / $802.60	Professional	TC	$126.07	$359.37	$802.60