Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.29 / $35.53 / $53.28	Facility	26	$32.29	$35.53	$53.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $234.20 / $252.70	Professional		$108.94	$234.20	$252.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.52 / $69.19 / $71.52	Professional	26	$31.52	$69.19	$71.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.66 / $54.47 / $65.39	Professional	52	$47.66	$54.47	$65.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.64 / $84.30 / $104.09	Professional	TC	$76.64	$84.30	$104.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $102.27 / $237.13	Professional		$37.03	$102.27	$237.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $37.42	Facility	26	$37.42	$37.42	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $144.01 / $322.74	Professional		$95.58	$144.01	$322.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $44.92 / $102.18	Professional	26	$26.87	$44.92	$102.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.45 / $101.53 / $220.57	Professional	TC	$68.45	$101.53	$220.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $193.57 / $319.11	Professional		$105.06	$193.57	$319.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $56.91 / $88.20	Professional	26	$32.19	$56.91	$88.20
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.07 / $160.11 / $173.86	Professional	TC	$148.07	$160.11	$173.86
United Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $110.82 / $209.93	Professional		$84.17	$110.82	$209.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $34.29 / $67.20	Professional	26	$23.62	$34.29	$67.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.65 / $78.36 / $166.96	Professional	TC	$59.65	$78.36	$166.96