Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.78 / $75.65 / $107.97	Facility	26	$68.78	$75.65	$107.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $267.93 / $345.42	Professional		$183.04	$267.93	$345.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $99.46 / $142.22	Professional	26	$58.63	$99.46	$142.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.60 / $211.37 / $276.17	Professional	TC	$118.60	$211.37	$276.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $179.87 / $379.13	Professional		$91.76	$179.87	$379.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.84 / $74.84 / $74.84	Facility	26	$74.84	$74.84	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $359.75 / $1,208.23	Professional		$181.23	$359.75	$1,208.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.89 / $96.19 / $315.83	Professional	26	$56.89	$96.19	$315.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.59 / $229.12 / $830.25	Professional	TC	$103.59	$229.12	$830.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.69 / $169.31 / $175.48	Professional	26	$103.69	$169.31	$175.48
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $228.81 / $228.81	Professional	TC	$228.81	$228.81	$228.81
United Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $305.83 / $577.29	Professional		$158.16	$305.83	$577.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.15 / $97.87 / $181.97	Professional	26	$41.15	$97.87	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.75 / $220.88 / $446.14	Professional	TC	$100.75	$220.88	$446.14