Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $9.64 / $305.86	Facility	26	$8.76	$9.64	$305.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $55.98 / $75.95	Professional		$52.20	$55.98	$75.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $9.14 / $19.03	Professional	26	$8.14	$9.14	$19.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.20 / $27.39 / $30.61	Professional	52	$25.20	$27.39	$30.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.57 / $46.85 / $59.62	Professional	TC	$43.57	$46.85	$59.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $52.38 / $111.30	Professional		$9.90	$52.38	$111.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $66.06 / $137.16	Professional		$52.92	$66.06	$137.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $10.72 / $26.14	Professional	26	$8.43	$10.72	$26.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.43 / $55.44 / $111.03	Professional	TC	$44.43	$55.44	$111.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $74.31 / $77.70	Professional		$67.70	$74.31	$77.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $11.85 / $18.21	Professional	26	$9.17	$11.85	$18.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $57.02 / $94.68	Professional		$42.26	$57.02	$94.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.44 / $13.68	Professional	26	$6.47	$9.44	$13.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.02 / $49.02 / $81.70	Professional	TC	$33.02	$49.02	$81.70