Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.37 / $28.38 / $31.21	Facility	26	$28.37	$28.38	$31.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $58.31 / $107.98	Professional		$48.74	$58.31	$107.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $59.40 / $62.82	Professional	26	$26.57	$59.40	$62.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.49 / $61.76 / $62.90	Professional	52	$61.49	$61.76	$62.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.37 / $27.86 / $48.28	Professional	TC	$20.37	$27.86	$48.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $51.60 / $108.77	Professional		$30.12	$51.60	$108.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $74.25 / $244.76	Professional		$42.15	$74.25	$244.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.27 / $40.86 / $132.50	Professional	26	$23.27	$40.86	$132.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $33.84 / $112.26	Professional	TC	$18.88	$33.84	$112.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $89.04 / $137.63	Professional		$48.35	$89.04	$137.63
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.95 / $72.73 / $74.47	Professional	26	$34.95	$72.73	$74.47
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $40.06 / $40.06 / $40.06	Professional	52	$40.06	$40.06	$40.06
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $20.07 / $43.16	Professional	TC	$20.07	$20.07	$43.16
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $75.05 / $137.54	Professional		$39.00	$75.05	$137.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.74 / $37.22 / $70.34	Professional	26	$21.74	$37.22	$70.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $32.11 / $52.33	Professional	TC	$19.48	$32.11	$52.33