Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.14 / $113.45 / $168.04	Facility	26	$103.14	$113.45	$168.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $475.00 / $522.50	Professional		$336.52	$475.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.02 / $140.00 / $220.28	Professional	26	$100.02	$140.00	$220.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.38 / $335.00 / $368.50	Professional	TC	$233.38	$335.00	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $341.86 / $694.06	Professional		$144.29	$341.86	$694.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.91 / $968.05 / $4,353.67	Professional		$346.91	$968.05	$4,353.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.29 / $149.09 / $488.44	Professional	26	$88.29	$149.09	$488.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.62 / $568.86 / $2,317.84	Professional	TC	$206.62	$568.86	$2,317.84
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $160.88 / $266.75 / $272.12	Professional	26	$160.88	$266.75	$272.12
United Facility/Professional Professional Modifier Low / Median / High Price $305.91 / $826.31 / $1,787.86	Professional		$305.91	$826.31	$1,787.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.85 / $128.62 / $249.29	Professional	26	$63.85	$128.62	$249.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.99 / $623.08 / $1,612.80	Professional	TC	$220.99	$623.08	$1,612.80