Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.01 / $133.12 / $282.05	Facility	26	$121.01	$133.12	$282.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $659.93 / $935.52	Professional		$572.27	$659.93	$935.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.42 / $142.54 / $262.17	Professional	26	$111.42	$142.54	$262.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $257.43 / $318.50 / $399.19	Professional	52	$257.43	$318.50	$399.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $451.25 / $529.84 / $736.33	Professional	TC	$451.25	$529.84	$736.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.87 / $569.49 / $1,309.66	Professional		$136.87	$569.49	$1,309.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.55 / $790.80 / $2,400.86	Professional		$577.55	$790.80	$2,400.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.44 / $159.69 / $491.31	Professional	26	$109.44	$159.69	$491.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $460.46 / $631.11 / $1,935.67	Professional	TC	$460.46	$631.11	$1,935.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $807.00 / $882.02	Professional		$807.00	$807.00	$882.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.06 / $170.29 / $251.87	Professional	26	$122.06	$170.29	$251.87
United Facility/Professional Professional Modifier Low / Median / High Price $486.48 / $878.79 / $1,680.96	Professional		$486.48	$878.79	$1,680.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.60 / $182.50 / $333.47	Professional	26	$106.60	$182.50	$333.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $379.88 / $681.90 / $1,331.01	Professional	TC	$379.88	$681.90	$1,331.01