Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.67 / $128.33 / $262.47	Facility	26	$116.67	$128.33	$262.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.21 / $632.16 / $890.30	Professional		$548.21	$632.16	$890.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.42 / $166.89 / $253.04	Professional	26	$107.42	$166.89	$253.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $245.54 / $304.37 / $381.18	Professional	52	$245.54	$304.37	$381.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $431.53 / $506.79 / $699.59	Professional	TC	$431.53	$506.79	$699.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $543.83 / $1,250.38	Professional		$130.96	$543.83	$1,250.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.97 / $133.97 / $133.97	Facility	26	$133.97	$133.97	$133.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.40 / $755.00 / $2,283.35	Professional		$552.40	$755.00	$2,283.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.20 / $152.78 / $458.19	Professional	26	$105.20	$152.78	$458.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $439.93 / $602.22 / $1,836.71	Professional	TC	$439.93	$602.22	$1,836.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.95 / $771.95 / $807.83	Professional		$771.95	$771.95	$807.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $137.11 / $172.03 / $241.17	Professional	26	$137.11	$172.03	$241.17
United Facility/Professional Professional Modifier Low / Median / High Price $465.80 / $799.95 / $1,538.14	Professional		$465.80	$799.95	$1,538.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.78 / $174.61 / $291.26	Professional	26	$108.78	$174.61	$291.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.06 / $657.05 / $1,201.54	Professional	TC	$363.06	$657.05	$1,201.54