Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.34 / $64.17 / $68.84	Facility	26	$58.34	$64.17	$68.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $400.00 / $522.50	Professional		$211.53	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $120.80 / $145.65	Professional	26	$58.34	$120.80	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.18 / $306.33 / $368.50	Professional	TC	$153.18	$306.33	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $228.48 / $439.34	Professional		$79.44	$228.48	$439.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $516.16 / $2,041.87	Professional		$218.00	$516.16	$2,041.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $83.90 / $273.60	Professional	26	$49.28	$83.90	$273.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.02 / $457.62 / $1,683.22	Professional	TC	$138.02	$457.62	$1,683.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.68 / $121.94 / $151.50	Professional	26	$93.68	$121.94	$151.50
United Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $490.63 / $1,010.04	Professional		$198.66	$490.63	$1,010.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.77 / $69.31 / $140.11	Professional	26	$35.77	$69.31	$140.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.00 / $378.61 / $904.67	Professional	TC	$145.00	$378.61	$904.67