Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.25 / $35.26 / $44.35	Facility	26	$35.25	$35.26	$44.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $147.29 / $256.14	Professional		$115.68	$147.29	$256.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $44.42 / $78.25	Professional	26	$32.71	$44.42	$78.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $60.57 / $60.75 / $189.55	Professional	52	$60.57	$60.75	$189.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.03 / $99.73 / $188.12	Professional	TC	$84.03	$99.73	$188.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $129.66 / $258.52	Professional		$51.18	$129.66	$258.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	26	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $180.79 / $600.23	Professional		$102.29	$180.79	$600.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $51.17 / $168.36	Professional	26	$29.63	$51.17	$168.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.65 / $130.30 / $431.87	Professional	TC	$72.65	$130.30	$431.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $219.19 / $338.08	Professional		$114.51	$219.19	$338.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.11 / $92.66 / $94.86	Professional	26	$55.11	$92.66	$94.86
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $98.23 / $98.23 / $98.23	Professional	52	$98.23	$98.23	$98.23
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.12 / $78.12 / $166.02	Professional	TC	$78.12	$78.12	$166.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $178.40 / $291.75	Professional		$105.57	$178.40	$291.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.92 / $48.11 / $98.66	Professional	26	$24.92	$48.11	$98.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.23 / $120.69 / $203.98	Professional	TC	$77.23	$120.69	$203.98