Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.84 / $95.52 / $137.86	Facility	26	$86.84	$95.52	$137.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.27 / $367.73 / $474.59	Professional		$249.27	$367.73	$474.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $94.24 / $181.11	Professional	26	$74.17	$94.24	$181.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.67 / $269.64 / $386.24	Professional	TC	$164.67	$269.64	$386.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $279.37 / $566.34	Professional		$116.43	$279.37	$566.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.60 / $537.37 / $2,035.80	Professional		$239.60	$537.37	$2,035.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.86 / $122.27 / $414.99	Professional	26	$71.86	$122.27	$414.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.74 / $414.99 / $1,752.61	Professional	TC	$167.74	$414.99	$1,752.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.80 / $439.80 / $439.80	Professional		$439.80	$439.80	$439.80
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.50 / $143.13 / $221.85	Professional	26	$128.50	$143.13	$221.85
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $370.51 / $370.51 / $370.51	Professional	TC	$370.51	$370.51	$370.51
United Facility/Professional Professional Modifier Low / Median / High Price $233.89 / $527.33 / $1,100.83	Professional		$233.89	$527.33	$1,100.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.57 / $102.22 / $204.45	Professional	26	$46.57	$102.22	$204.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.66 / $374.60 / $1,020.46	Professional	TC	$163.66	$374.60	$1,020.46