Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.37 / $71.37 / $71.37	Facility	26	$71.37	$71.37	$71.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $400.00 / $522.50	Professional		$263.63	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.37 / $140.00 / $151.76	Professional	26	$71.37	$140.00	$151.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.25 / $281.41 / $368.50	Professional	TC	$192.25	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Professional		$78.47	$78.47	$78.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $539.24 / $2,107.96	Professional		$250.13	$539.24	$2,107.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.72 / $103.10 / $339.71	Professional	26	$60.72	$103.10	$339.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.85 / $425.70 / $1,370.46	Professional	TC	$168.85	$425.70	$1,370.46
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $183.45 / $183.45 / $184.63	Professional	26	$183.45	$183.45	$184.63
United Facility/Professional Professional Modifier Low / Median / High Price $241.43 / $556.54 / $961.95	Professional		$241.43	$556.54	$961.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $93.05 / $173.37	Professional	26	$44.03	$93.05	$173.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.30 / $436.62 / $805.25	Professional	TC	$177.30	$436.62	$805.25