Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.89 / $70.29 / $100.82	Facility	26	$63.89	$70.29	$100.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $171.68 / $285.52	Professional		$147.91	$171.68	$285.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.45 / $64.39 / $130.37	Professional	26	$54.45	$64.39	$130.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.98 / $105.21 / $221.14	Professional	TC	$88.98	$105.21	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $147.62 / $311.14	Professional		$85.65	$147.62	$311.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.44 / $69.44 / $69.44	Facility	26	$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $295.25 / $1,039.30	Professional		$147.72	$295.25	$1,039.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $89.68 / $291.97	Professional	26	$52.78	$89.68	$291.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.04 / $188.98 / $669.89	Professional	TC	$78.04	$188.98	$669.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.38 / $105.16 / $163.22	Professional	26	$95.38	$105.16	$163.22
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.37 / $172.37 / $172.37	Professional	TC	$172.37	$172.37	$172.37
United Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $252.27 / $511.97	Professional		$116.76	$252.27	$511.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $87.90 / $169.91	Professional	26	$38.24	$87.90	$169.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.12 / $183.94 / $359.90	Professional	TC	$77.12	$183.94	$359.90