Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $658.00 / $850.82	Facility		$144.46	$658.00	$850.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.33 / $24.56 / $24.56	Facility	26	$22.33	$24.56	$24.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $141.07 / $196.64	Professional		$117.29	$141.07	$196.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.34 / $23.28 / $47.76	Professional	26	$20.34	$23.28	$47.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $58.65 / $62.47 / $72.52	Professional	52	$58.65	$62.47	$72.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.95 / $123.02 / $197.70	Professional	TC	$94.95	$123.02	$197.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $111.69 / $167.54	Facility		$22.37	$111.69	$167.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $119.51 / $258.95	Professional		$24.41	$119.51	$258.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.77 / $188.06 / $321.72	Facility		$145.77	$188.06	$321.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.72 / $24.72 / $24.72	Facility	26	$24.72	$24.72	$24.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $167.54 / $348.56	Professional		$118.09	$167.54	$348.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $28.47 / $62.07	Professional	26	$20.21	$28.47	$62.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.13 / $137.03 / $284.67	Professional	TC	$97.13	$137.03	$284.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $640.90 / $950.35	Facility		$156.30	$640.90	$950.35
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $24.73 / $38.40	Professional	26	$22.63	$24.73	$38.40
United Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $166.57 / $322.12	Professional		$107.08	$166.57	$322.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $27.02 / $54.16	Professional	26	$18.01	$27.02	$54.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.82 / $139.05 / $275.91	Professional	TC	$86.82	$139.05	$275.91