Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $104.71	Facility	26	$66.07	$66.07	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $218.78 / $912.01	Professional		$64.57	$218.78	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $131.83 / $309.03	Professional	26	$61.66	$131.83	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $100.00 / $100.00 / $1,023.29	Professional	52	$100.00	$100.00	$1,023.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $281.84 / $524.81	Professional	TC	$141.25	$281.84	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $426.58	Professional		$83.18	$194.98	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $72.44 / $104.71	Facility	26	$15.49	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $2,089.30	Professional		$177.83	$512.86	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $91.20 / $316.23	Professional	26	$48.98	$91.20	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $346.74 / $1,548.82	Professional	TC	$120.23	$346.74	$1,548.82
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $112.20 / $169.82	Professional	26	$100.00	$112.20	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $870.96	Professional		$181.97	$380.19	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $75.86 / $138.04	Professional	26	$39.81	$75.86	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $275.42 / $776.25	Professional	TC	$123.03	$275.42	$776.25