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 / $138.33	Facility	26	$86.84	$95.52	$138.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.27 / $316.14 / $474.59	Professional		$249.27	$316.14	$474.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $138.87 / $181.11	Professional	26	$74.17	$138.87	$181.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.67 / $224.76 / $386.24	Professional	TC	$164.67	$224.76	$386.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $279.05 / $565.69	Professional		$116.43	$279.05	$565.69
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 $239.32 / $536.76 / $2,044.90	Professional		$239.32	$536.76	$2,044.90
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 $167.46 / $412.84 / $1,760.57	Professional	TC	$167.46	$412.84	$1,760.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.40 / $495.40 / $495.40	Professional		$495.40	$495.40	$495.40
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.96 / $143.13 / $221.35	Professional	26	$130.96	$143.13	$221.35
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $366.34 / $366.34 / $366.34	Professional	TC	$366.34	$366.34	$366.34
United Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $492.35 / $1,119.42	Professional		$233.62	$492.35	$1,119.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.57 / $107.03 / $204.45	Professional	26	$46.57	$107.03	$204.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.38 / $413.90 / $946.58	Professional	TC	$163.38	$413.90	$946.58