Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $131.83 / $281.84	Facility	26	$120.23	$131.83	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,202.26	Professional		$575.44	$707.95	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $165.96 / $371.54	Professional	26	$114.82	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $181.97 / $257.04 / $616.60	Professional	52	$181.97	$257.04	$616.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $549.54 / $912.01	Professional	TC	$457.09	$549.54	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $562.34 / $1,348.96	Professional		$123.03	$562.34	$1,348.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $138.04 / $199.53	Facility	26	$29.51	$138.04	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,230.27 / $3,548.13	Professional		$588.84	$1,230.27	$3,548.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $251.19 / $891.25	Professional	26	$117.49	$251.19	$891.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $1,000.00 / $2,511.89	Professional	TC	$489.78	$1,000.00	$2,511.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $169.82 / $251.19	Professional	26	$144.54	$169.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,348.96	Professional		$512.86	$870.96	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $173.78 / $295.12	Professional	26	$107.15	$173.78	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $691.83 / $1,096.48	Professional	TC	$398.11	$691.83	$1,096.48