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 / $64.17	Facility	26	$58.34	$64.17	$64.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.13 / $400.00 / $522.50	Professional		$212.13	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $119.79 / $154.00	Professional	26	$58.34	$119.79	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.79 / $306.97 / $368.50	Professional	TC	$153.79	$306.97	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $63.89 / $63.89	Professional		$63.89	$63.89	$63.89
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 $218.94 / $517.23 / $2,041.87	Professional		$218.94	$517.23	$2,041.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $83.43 / $273.60	Professional	26	$49.28	$83.43	$273.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.30 / $457.62 / $1,678.67	Professional	TC	$138.30	$457.62	$1,678.67
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.80 / $122.68 / $150.75	Professional	26	$89.80	$122.68	$150.75
United Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $490.26 / $1,008.18	Professional		$199.49	$490.26	$1,008.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $80.78 / $157.66	Professional	26	$35.96	$80.78	$157.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.55 / $388.93 / $902.22	Professional	TC	$145.55	$388.93	$902.22