Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $47.86 / $158.49	Facility	26	$43.65	$47.86	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $269.15	Professional		$87.10	$128.82	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $125.89	Professional	26	$41.69	$67.61	$125.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.23 / $91.20 / $93.33	Professional	52	$10.23	$91.20	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $70.79 / $134.90	Professional	TC	$45.71	$70.79	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $204.17	Professional		$43.65	$87.10	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $281.84 / $1,047.13	Professional		$89.13	$281.84	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $112.20 / $389.05	Professional	26	$41.69	$112.20	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $194.98 / $426.58	Professional	TC	$47.86	$194.98	$426.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $128.82	Professional		$114.82	$128.82	$128.82
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $60.26 / $89.13	Professional	26	$52.48	$60.26	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $338.84	Professional		$95.50	$190.55	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $72.44 / $125.89	Professional	26	$38.02	$72.44	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $114.82 / $208.93	Professional	TC	$53.70	$114.82	$208.93