Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.15 / $65.15 / $65.15	Facility	26	$65.15	$65.15	$65.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $409.82 / $522.50	Professional		$224.09	$409.82	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.15 / $138.44 / $154.00	Professional	26	$65.15	$138.44	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.94 / $313.07 / $368.50	Professional	TC	$158.94	$313.07	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $71.56	Professional		$71.56	$71.56	$71.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $503.73 / $2,045.55	Professional		$232.09	$503.73	$2,045.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.44 / $94.02 / $304.82	Professional	26	$55.44	$94.02	$304.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.36 / $389.65 / $1,517.17	Professional	TC	$141.36	$389.65	$1,517.17
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.75 / $137.61 / $171.47	Professional	26	$109.75	$137.61	$171.47
United Facility/Professional Professional Modifier Low / Median / High Price $211.60 / $399.74 / $922.97	Professional		$211.60	$399.74	$922.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $83.88 / $156.46	Professional	26	$40.06	$83.88	$156.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.68 / $426.30 / $930.80	Professional	TC	$151.68	$426.30	$930.80