Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.53 / $69.89 / $99.77	Facility	26	$63.53	$69.89	$99.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $208.82 / $346.44	Professional		$172.32	$208.82	$346.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $63.54 / $128.82	Professional	26	$53.83	$63.54	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.67 / $142.34 / $282.38	Professional	TC	$112.67	$142.34	$282.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $169.52 / $357.31	Professional		$84.74	$169.52	$357.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $356.94 / $1,408.38	Professional		$151.07	$356.94	$1,408.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $89.11 / $290.12	Professional	26	$52.48	$89.11	$290.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.59 / $256.50 / $873.45	Professional	TC	$98.59	$256.50	$873.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.13 / $129.93 / $161.41	Professional	26	$100.13	$129.93	$161.41
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.80 / $212.80 / $212.80	Professional	TC	$212.80	$212.80	$212.80
United Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $332.82 / $656.02	Professional		$142.01	$332.82	$656.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.84 / $79.76 / $148.22	Professional	26	$37.84	$79.76	$148.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.78 / $264.56 / $508.02	Professional	TC	$99.78	$264.56	$508.02