Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $89.13 / $112.20	Facility	26	$79.43	$89.13	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $489.78	Professional		$204.17	$275.42	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $186.21	Professional	26	$60.26	$89.13	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $186.21 / $346.74	Professional	TC	$138.04	$186.21	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $1,479.11	Professional		$190.55	$457.09	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $354.81	Professional	26	$57.54	$102.33	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $346.74 / $1,071.52	Professional	TC	$125.89	$346.74	$1,071.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $204.17 / $204.17	Professional	26	$131.83	$204.17	$204.17
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	TC	$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $645.65	Professional		$173.78	$363.08	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $83.18 / $158.49	Professional	26	$42.66	$83.18	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $269.15 / $524.81	Professional	TC	$120.23	$269.15	$524.81