Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.71 / $61.28 / $61.28	Facility	26	$55.71	$61.28	$61.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $207.02 / $409.21	Professional		$180.16	$207.02	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.85 / $66.05 / $114.82	Professional	26	$47.85	$66.05	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.08 / $150.30 / $339.73	Professional	TC	$126.08	$150.30	$339.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $60.17 / $60.17	Professional		$60.17	$60.17	$60.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $350.21 / $1,215.78	Professional		$183.60	$350.21	$1,215.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $96.19 / $315.83	Professional	26	$46.62	$96.19	$315.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.25 / $305.33 / $994.01	Professional	TC	$110.25	$305.33	$994.01
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.38 / $92.89 / $143.38	Professional	26	$52.38	$92.89	$143.38
United Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $339.60 / $679.80	Professional		$175.06	$339.60	$679.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $80.22 / $145.02	Professional	26	$36.40	$80.22	$145.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.32 / $235.58 / $543.74	Professional	TC	$126.32	$235.58	$543.74