Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $58.47 / $75.95	Professional		$42.22	$58.47	$75.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $27.20 / $55.83	Professional	26	$22.42	$27.20	$55.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.11 / $29.24 / $37.97	Professional	52	$21.11	$29.24	$37.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $32.22 / $42.38	Professional	TC	$24.36	$32.22	$42.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $38.20 / $74.56	Facility		$26.85	$38.20	$74.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $55.23 / $128.05	Professional		$26.12	$55.23	$128.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $70.84 / $70.84	Facility		$70.84	$70.84	$70.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.14 / $30.14 / $30.14	Facility	26	$30.14	$30.14	$30.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $66.28 / $115.68	Professional		$46.95	$66.28	$115.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $27.41 / $53.86	Professional	26	$20.75	$27.41	$53.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $36.65 / $61.81	Professional	TC	$26.20	$36.65	$61.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $91.32 / $94.96	Professional		$56.96	$91.32	$94.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $39.90 / $39.90	Professional	26	$39.90	$39.90	$39.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $58.87 / $108.45	Professional		$43.44	$58.87	$108.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $23.47 / $43.23	Professional	26	$17.94	$23.47	$43.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.74 / $33.06 / $59.02	Professional	TC	$21.74	$33.06	$59.02