Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.65 / $47.28 / $89.07	Facility	26	$34.65	$47.28	$89.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $125.41 / $216.20	Professional		$112.12	$125.41	$216.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $34.65 / $62.38	Professional	26	$32.71	$34.65	$62.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $190.05 / $345.34 / $345.34	Professional	52	$190.05	$345.34	$345.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.81 / $92.01 / $110.69	Professional	TC	$79.81	$92.01	$110.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $153.36 / $228.91	Professional		$95.91	$153.36	$228.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.31 / $41.09 / $64.54	Professional	26	$25.31	$41.09	$64.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.59 / $112.27 / $169.01	Professional	TC	$70.59	$112.27	$169.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $130.13 / $178.65	Professional		$128.26	$130.13	$178.65
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $36.11 / $49.29	Professional	26	$35.74	$36.11	$49.29
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $89.33 / $89.33 / $89.33	Professional	52	$89.33	$89.33	$89.33
United Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $171.14 / $306.76	Professional		$113.46	$171.14	$306.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.68 / $41.26 / $86.00	Professional	26	$26.68	$41.26	$86.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.98 / $115.53 / $220.76	Professional	TC	$79.98	$115.53	$220.76